Dr Mackenzie Ross Hofford, MD | |
4901 Forest Park Ave, Div Im General Med, Ste 241, Saint Louis, MO 63108-1495 | |
(314) 362-5060 | |
(314) 362-6959 |
Full Name | Dr Mackenzie Ross Hofford |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 9 Years |
Location | 4901 Forest Park Ave, Saint 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 |
---|---|---|---|
1750778320 | NPI | - | NPPES |
200084460 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 2020013462 (Missouri) | Secondary |
208D00000X | General Practice | 2020013462 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Barnes Jewish Hospital | Saint louis, MO | Hospital |
Barnes-jewish West County Hospital | Creve coeur, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Washington University | 9830008770 | 2516 |
Entity Name | Washington University |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992746903 PECOS PAC ID: 9830008770 Enrollment ID: O20031119000372 |
Mailing Address | Practice Location Address |
---|---|
Dr Mackenzie Ross Hofford, MD Po Box 60352, Saint Louis, MO 63160-0352 Ph: (314) 362-5060 | Dr Mackenzie Ross Hofford, MD 4901 Forest Park Ave, Div Im General Med, Ste 241, Saint Louis, MO 63108-1495 Ph: (314) 362-5060 |
Dr. Nichole Gallegos Zehnder, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 4901 Forest Park Ave, Div Im General Med, Ste 241, Saint Louis, MO 63108 Phone: 314-362-5060 Fax: 314-362-6959 | |
Dr. Garland R Tschudin, MD General Practice Medicare: Medicare Enrolled Practice Location: 12348 Old Tesson Rd Ste 160, Saint Louis, MO 63128 Phone: 314-467-3800 | |
Dr. Richard Thomas Griffey, MD General Practice Medicare: Medicare Enrolled Practice Location: 400 S Kingshighway Blvd, Dept Emergency Med, Saint Louis, MO 63110 Phone: 314-362-9123 Fax: 314-747-3338 | |
Dr. Laura Nicole Becker, MD General Practice Medicare: Medicare Enrolled Practice Location: 1465 S Grand Blvd, Saint Louis, MO 63104 Phone: 314-268-4095 | |
Grace Elizabeth Montes, MD General Practice Medicare: Medicare Enrolled Practice Location: 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110 Phone: 314-362-9177 | |
Mr. Rajendra Gavini, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 12101 Woodcrest Executive Dr, Suite 210, Saint Louis, MO 63141 Phone: 314-317-0600 Fax: 314-317-0606 | |
Iqra Ansari, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 2415 N Kingshighway Blvd, Saint Louis, MO 63113 Phone: 314-367-1083 |