Mr Twan Phanijphand, DO | |
10012 Kennerly Rd, Suite 404, Saint Louis, MO 63128-2197 | |
(314) 543-5911 | |
(314) 543-5914 |
Full Name | Mr Twan Phanijphand |
---|---|
Gender | Male |
Speciality | Gastroenterology |
Experience | 22 Years |
Location | 10012 Kennerly Rd, 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 |
---|---|---|---|
1790806248 | NPI | - | NPPES |
156440050 | Other | MO | MEDICARE PTAN # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | 5101015350 (Michigan) | Secondary |
207RG0100X | Internal Medicine - Gastroenterology | 2010014123 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Fort Walton Beach Medical Center | Fort walton beach, FL | Hospital |
Twin Cities Hospital | Niceville, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northwest Florida Multispecialty Physicians Llc | 5597801779 | 20 |
Entity Name | Northwest Florida Multispecialty Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790912269 PECOS PAC ID: 5597801779 Enrollment ID: O20090930000747 |
Mailing Address | Practice Location Address |
---|---|
Mr Twan Phanijphand, DO 10012 Kennerly Rd, Ste 404, Saint Louis, MO 63128-2197 Ph: (314) 543-5911 | Mr Twan Phanijphand, DO 10012 Kennerly Rd, Suite 404, Saint Louis, MO 63128-2197 Ph: (314) 543-5911 |
Dr. Isik Turker, MD Gastroenterology Medicare: Medicare Enrolled Practice Location: 4921 Parkview Pl, Div Im Cardiology, Ste 8b, Saint Louis, MO 63110 Phone: 314-362-1291 Fax: 314-362-4278 | |
Conor Mccartney, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 915 N Grand Blvd, Saint Louis, MO 63106 Phone: 314-652-4100 | |
Dr. Faris Adam Bakeer, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1 Barnes Jewish Hospital Plz, Div Im Hospitalist, Saint Louis, MO 63110 Phone: 314-362-1700 Fax: 314-362-9878 | |
Dr. Rehan Rais, MD Gastroenterology Medicare: Medicare Enrolled Practice Location: 1 Barnes Jewish Hospital Plz, Div Im Hospitalist, Saint Louis, MO 63110 Phone: 314-362-1700 Fax: 314-362-9878 | |
Nathan Farkas, M.D. Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 1 Barnes Jew Hosp Plz, Saint Louis, MO 63110 Phone: 314-362-1930 | |
Dr. Randy Olivier Laine, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1 Barnes Jewish Hospital Plz, Div Im Hospitalist, Saint Louis, MO 63110 Phone: 314-362-1700 Fax: 314-362-9878 | |
Dr. Erin Leigh Dyer, MD Gastroenterology Medicare: Medicare Enrolled Practice Location: 4901 Forest Park Ave, Div Im General Med, Ste 241, Saint Louis, MO 63108 Phone: 314-362-5060 Fax: 314-362-6959 |