Laura Marie Viero-dothage, MD | |
12303 Depaul Dr, Depaul Health Center, Bridgeton, MO 63044 | |
(314) 344-6000 | |
(630) 734-1560 |
Full Name | Laura Marie Viero-dothage |
---|---|
Gender | Female |
Speciality | Emergency Medicine |
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 |
---|---|---|---|
1124000633 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 2004001493 (Missouri) | Primary |
Entity Name | Mercy Clinic East Communities |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851335228 PECOS PAC ID: 7214827922 Enrollment ID: O20070521000006 |
Entity Name | Bridgeton Emergency Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053660076 PECOS PAC ID: 5193978948 Enrollment ID: O20130104000140 |
Entity Name | Mercy East Ambulatory Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134673148 PECOS PAC ID: 2365739240 Enrollment ID: O20160920002054 |
Mailing Address | Practice Location Address |
---|---|
Laura Marie Viero-dothage, MD Po Box 4853, Dept 4036, Oak Brook, IL 60522-4853 Ph: (630) 734-0200 | Laura Marie Viero-dothage, MD 12303 Depaul Dr, Depaul Health Center, Bridgeton, MO 63044 Ph: (314) 344-6000 |
Norman J Ehlinger Jr., DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3436a Mckelvey Rd, Bridgeton, MO 63044 Phone: 314-739-5518 Fax: 314-739-1223 | |
Dr. Anil Kumar Srivastava, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 12266 De Paul Dr Ste 305, Bridgeton, MO 63044 Phone: 314-770-0991 | |
Timothy F Reed, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 12303 Depaul Drive, Bridgeton, MO 63044 Phone: 314-344-6000 | |
Andrew J Wahle, PA Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 12303 Depaul Dr, Depaul Health Center, Bridgeton, MO 63044 Phone: 314-344-6000 Fax: 630-734-1560 | |
Gilbert N Jones, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 12303 Depaul Drive, Bridgeton, MO 63044 Phone: 314-344-6000 | |
Dr. Alicia H Busso, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 12303 De Paul Dr, Bridgeton, MO 63044 Phone: 314-344-6360 |