Lauren Marie Rackovan, | |
1011 Bowles Ave Ste 215, Fenton, MO 63026-2387 | |
(636) 680-1960 | |
Not Available |
Full Name | Lauren Marie Rackovan |
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Gender | Female |
Speciality | Obstetrics & Gynecology |
Location | 1011 Bowles Ave Ste 215, Fenton, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508328782 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207V00000X | Obstetrics & Gynecology | 2018030932 (Missouri) | Primary |
Entity Name | Mercy Clinic East Communities |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851335228 PECOS PAC ID: 7214827922 Enrollment ID: O20070521000006 |
Mailing Address | Practice Location Address |
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Lauren Marie Rackovan, 517 Queens Court Pl, Saint Peters, MO 63376-7390 Ph: (636) 699-8743 | Lauren Marie Rackovan, 1011 Bowles Ave Ste 215, Fenton, MO 63026-2387 Ph: (636) 680-1960 |
Dr. Lawrence Vincent Boveri, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1011 Bowles Ave, Suite 215, Fenton, MO 63026 Phone: 636-680-1960 Fax: 636-680-1964 | |
Dr. Adriana M Canas-polesel, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1203 Smizer Mill Rd Ste 106, Fenton, MO 63026 Phone: 636-717-1390 Fax: 636-717-1395 | |
Mr. Stephen Angelo Boveri, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1011 Bowles Ave, Suite 215, Fenton, MO 63026 Phone: 636-680-1960 Fax: 636-680-1964 | |
Dr. Amy Christine Eichholz, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1011 Bowles Ave, Suite 215, Fenton, MO 63028 Phone: 636-680-1960 Fax: 636-680-1964 | |
Dr. Vandana Dalton, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 714 Gravois Rd, Fenton, MO 63026 Phone: 636-717-6775 Fax: 636-717-6755 | |
Jessica Miller, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1011 Bowles Ave Ste G10, Fenton, MO 63026 Phone: 314-842-7910 |