Keith J Odegard, MD | |
12855 North Forty Drive, Suite 125, St. Louis, MO 63141 | |
(314) 966-0111 | |
(314) 966-1023 |
Full Name | Keith J Odegard |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 40 Years |
Location | 12855 North Forty Drive, St. Louis, Missouri |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083609614 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | 2004027795 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Louis Home Health | Saint louis, MO | Home health agency |
Mercy Home Health | Saint louis, MO | Home health agency |
Mercy Hospital St Louis | Saint louis, MO | Hospital |
Mercy Hospital South | Saint louis, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mercy Clinic Surgical Specialists Llc | 1153455076 | 135 |
Physical Therapy Spine And Sports Medicine Llc | 3173654936 | 86 |
Entity Name | Mercy Hospitals East Communities |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851431738 PECOS PAC ID: 1658276811 Enrollment ID: O20031218000107 |
Entity Name | Mercy Clinic Surgical Specialists Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043530538 PECOS PAC ID: 1153455076 Enrollment ID: O20100813001038 |
Mailing Address | Practice Location Address |
---|---|
Keith J Odegard, MD 12813 Flushing Meadows Drive, Suite 210, St. Louis, MO 63131 Ph: (314) 966-0111 | Keith J Odegard, MD 12855 North Forty Drive, Suite 125, St. Louis, MO 63141 Ph: (314) 966-0111 |
Husam T Nawas, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 12855 North Forty Drive, Suite 125, North Tower, St. Louis, MO 63141 Phone: 314-966-0111 Fax: 314-966-2810 | |
Mrs. Margaret Mary Rich, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2001 South Lindbergh Boulevard, St. Louis, MO 63131 Phone: 314-432-3600 Fax: 314-872-7808 | |
Jay Patel, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 425 North New Ballas Road, Suite 230, St. Louis, MO 63141 Phone: 314-266-2066 Fax: 314-266-2069 | |
Michael P. Nogalski, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1050 Old Des Peres Rd., Suite 100, St. Louis, MO 63131 Phone: 314-569-0612 Fax: 314-966-0664 | |
Daemeon Achilles Nicolaou, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3635 Vista Ave, 7th Floor Desloge Towers, St. Louis, MO 63110 Phone: 314-577-8850 Fax: 314-268-5121 | |
Dr. Micah Christian Hobbs, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 425 North New Ballas Road, Suite 230, St. Louis, MO 63141 Phone: 314-266-2066 Fax: 314-266-2069 |