Justin Brent Lendermon, MD | |
12303 Depaul Dr, Bridgeton, MO 63044 | |
(314) 770-9393 | |
(314) 770-9997 |
Full Name | Justin Brent Lendermon |
---|---|
Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 12303 Depaul Dr, Bridgeton, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558896894 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0204X | Radiology - Vascular & Interventional Radiology | 2023025238 (Missouri) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | 2023025238 (Missouri) | Primary |
Entity Name | Ernst Radiology Clinic, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629000971 PECOS PAC ID: 2961488366 Enrollment ID: O20040626000181 |
Entity Name | Blessing Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114471737 PECOS PAC ID: 3072422534 Enrollment ID: O20171221000766 |
Entity Name | Ernst Radiology Clinic Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699425462 PECOS PAC ID: 2264829639 Enrollment ID: O20220602002306 |
Mailing Address | Practice Location Address |
---|---|
Justin Brent Lendermon, MD Po Box 1127, Maryland Heights, MO 63043-0127 Ph: (314) 770-9393 | Justin Brent Lendermon, MD 12303 Depaul Dr, Bridgeton, MO 63044 Ph: (314) 770-9393 |
Dr. Lewis C Halverson, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 12266 De Paul Dr Ste 315, Bridgeton, MO 63044 Phone: 314-739-5858 | |
Dr. Clelland James-henry Chatman, M.D. Radiology Medicare: May Accept Medicare Assignments Practice Location: 12303 De Paul Dr, Bridgeton, MO 63044 Phone: 314-770-9393 Fax: 314-770-9997 | |
Thomas P Bocchini, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 12266 De Paul Dr Ste 305, Bridgeton, MO 63044 Phone: 314-770-0991 | |
Andre Strzembosz, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 12303 De Paul Dr, Depaul Health Center, Bridgeton, MO 63044 Phone: 314-344-6350 | |
Larry Paskar, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 12303 De Paul Dr, Depaul Health Center, Bridgeton, MO 63044 Phone: 314-344-6350 | |
Edwin C Ernst Iii, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 12303 Depaul Dr, Depaul Health Center, Bridgeton, MO 63044 Phone: 314-344-6350 | |
Megan M Gau, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 12303 Depaul Dr, Depaul Health Center, Bridgeton, MO 63044 Phone: 314-344-6000 |