Kyle C Moylan, MD | |
1011 Bowles Ave, Suite 450, Fenton, MO 63026-2395 | |
(314) 467-1500 | |
(314) 467-1515 |
Full Name | Kyle C Moylan |
---|---|
Gender | Male |
Speciality | Geriatric Medicine |
Experience | 25 Years |
Location | 1011 Bowles Ave, Fenton, 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 |
---|---|---|---|
1124052808 | NPI | - | NPPES |
209080407 | Medicaid | MO | |
209080 | Other | MO | BLUE CHOICE |
543164 | Other | MO | HEALTHLINK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0300X | Internal Medicine - Geriatric Medicine | 2001027314 (Missouri) | Secondary |
207R00000X | Internal Medicine | 2001027314 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Fv At Home By Friendship Village | Chesterfield, MO | Home health agency |
Seasons Hospice And Palliative Care Of Missouri, L | Saint louis, MO | Hospice |
Ssm St Clare Health Center | Fenton, MO | Hospital |
Ssm Health St Mary's Hospital - St Louis | Richmond heights, MO | Hospital |
Mercy Hospital St Louis | Saint louis, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
American Multispecialty Group Inc | 1658365572 | 146 |
Entity Name | American Multispecialty Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972559532 PECOS PAC ID: 1658365572 Enrollment ID: O20040413001412 |
Mailing Address | Practice Location Address |
---|---|
Kyle C Moylan, MD Po Box 23340, Saint Louis, MO 63156-3340 Ph: (314) 467-1500 | Kyle C Moylan, MD 1011 Bowles Ave, Suite 450, Fenton, MO 63026-2395 Ph: (314) 467-1500 |
Dr. Aman Kanti Patel, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 1011 Bowles Ave Ste 300, Fenton, MO 63026 Phone: 636-496-5065 | |
Dr. Gregorius Resuma Penilla, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1345 Smizer Mill Rd Ste 1100, Fenton, MO 63026 Phone: 636-496-5040 | |
Dr. Stephanie Jean Becker-koepke, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1011 Bowles Ave Ste G50, Fenton, MO 63026 Phone: 636-496-4640 | |
Dr. Jeffrey J Hallazgo, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 714 Gravois Rd, Suite 100, Fenton, MO 63026 Phone: 636-326-6100 Fax: 636-326-6110 | |
Dr. Mansoor Ul Haq, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1011 Bowles Ave Ste G50, Fenton, MO 63026 Phone: 636-496-4640 | |
Dr. Abdul Rehman Rishi, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1345 Smizer Mill Rd Ste 1100, Fenton, MO 63026 Phone: 636-496-5022 | |
Timothy James Pratt, M.D. Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 1011 Bowles Avenue, Suite 121, Fenton, MO 63026 Phone: 314-766-2066 Fax: 636-326-1802 |