Leslie B Wilson, MD | |
525 Couch Ave, Kirkwood, MO 63122-5536 | |
(314) 966-1500 | |
(314) 966-1681 |
Full Name | Leslie B Wilson |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Experience | 28 Years |
Location | 525 Couch Ave, Kirkwood, Missouri |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801834056 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 110704 (Missouri) | Secondary |
208M00000X | Hospitalist | 110704 (Missouri) | Secondary |
207P00000X | Emergency Medicine | 110704 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ssm St Clare Health Center | Fenton, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Galen Inpatient Physicians Pc | 3678464633 | 442 |
Entity Name | Ssm Health Care St Louis |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275586174 PECOS PAC ID: 7810800737 Enrollment ID: O20031118000393 |
Entity Name | Dr. Petre I Anguelinin, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265538177 PECOS PAC ID: 4981602927 Enrollment ID: O20070102000375 |
Entity Name | Fenton Emergency Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770832792 PECOS PAC ID: 4789837923 Enrollment ID: O20130121000081 |
Entity Name | Galen Inpatient Physicians Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538714688 PECOS PAC ID: 3678464633 Enrollment ID: O20191115000362 |
Mailing Address | Practice Location Address |
---|---|
Leslie B Wilson, MD 1836 Lackland Hill Pkwy, Attention: Credentialing Department, Saint Louis, MO 63146-3572 Ph: (314) 989-0300 | Leslie B Wilson, MD 525 Couch Ave, Kirkwood, MO 63122-5536 Ph: (314) 966-1500 |
James H Donnell, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 525 Couch Ave, Kirkwood, MO 63122 Phone: 314-966-1500 Fax: 314-966-1681 | |
Mark A Mason, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 525 Couch Ave, Kirkwood, MO 63122 Phone: 314-966-1500 Fax: 314-966-1681 | |
John C Vandover, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 525 Couch Ave, Kirkwood, MO 63122 Phone: 314-966-1500 Fax: 314-966-1681 | |
Robert J Paino, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 525 Couch Ave, Kirkwood, MO 63122 Phone: 314-966-1500 Fax: 314-966-1681 | |
John C Strupel, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 525 Couch Ave, Kirkwood, MO 63122 Phone: 314-966-1500 Fax: 314-966-1681 | |
Gaetano Venezia, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 525 Couch Ave, Kirkwood, MO 63122 Phone: 314-966-1500 Fax: 314-966-1681 | |
Jonas V Grybinas, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 525 Couch Ave, Kirkwood, MO 63122 Phone: 314-966-1500 Fax: 314-966-1681 |