Mrs Ann Lutzeier Peick, MD | |
621 S. New Ballas Rd., Suite 560a, St Louis, MO 63141-8232 | |
(314) 251-6440 | |
(314) 251-4456 |
Full Name | Mrs Ann Lutzeier Peick |
---|---|
Gender | Female |
Speciality | Surgery - Trauma Surgery |
Location | 621 S. New Ballas Rd., St Louis, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518935568 | NPI | - | NPPES |
113818 | Other | MO | BLUE CROSS BLUE SHIELD |
46291V11170 | Other | HEALTHCARE USA | |
50809 | Other | MO | GHP |
710444 | Other | MERCY HEALTH PLAN | |
202330429 | Medicaid | MO | |
50809 | Other | GROUP HEALTH PLAN | |
020043388 | Other | MO | RAILROAD MEDICARE |
142383 | Other | MO | HEALTHLINK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0102X | Surgery - Surgical Critical Care | R6D37 (Missouri) | Secondary |
2086S0127X | Surgery - Trauma Surgery | R6D37 (Missouri) | Primary |
Entity Name | Mercy Hospitals East Communities |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851431738 PECOS PAC ID: 1658276811 Enrollment ID: O20031218000107 |
Mailing Address | Practice Location Address |
---|---|
Mrs Ann Lutzeier Peick, MD 621 S. New Ballas Rd., Suite 560a, Saint Louis, MO 63141-8232 Ph: (314) 251-6440 | Mrs Ann Lutzeier Peick, MD 621 S. New Ballas Rd., Suite 560a, St Louis, MO 63141-8232 Ph: (314) 251-6440 |
Enes Cevik, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1 Barnes Jewish Plaza, St Louis, MO 63110 Phone: 314-362-8028 | |
Ralph J Graff, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 3635 Vista, 3rd Fl, St Louis, MO 63110 Phone: 314-577-8566 Fax: 314-771-1945 | |
Dr. Carrie Luu, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3655 Vista Ave, Surgery, 1st Floor, St Louis, MO 63110 Phone: 314-977-4440 Fax: 149-771-6303 | |
Donald L Kaminski, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 3635 Vista, 3rd Floor, St Louis, MO 63110 Phone: 314-577-8566 Fax: 314-771-1945 | |
Dr. George Fraklin Rendleman Jr., MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 12723 Topping Acres, St Louis, MO 63131 Phone: 314-966-6799 Fax: 314-966-6799 | |
Paolo R Salvalaggio, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 3635 Vista, 3rd Floor, St Louis, MO 63110 Phone: 314-577-8566 Fax: 314-771-1945 | |
Melissa Canas Diaz, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 660 S Euclid Av, Cb 8109, St Louis, MO 63110 Phone: 314-362-8028 |