Nicholas Gourtzelis, MD | |
10004 Kennerly Rd, Ste 374b, St Louis, MO 63128 | |
(314) 842-9669 | |
(314) 842-1017 |
Full Name | Nicholas Gourtzelis |
---|---|
Gender | Male |
Speciality | Nephrology |
Experience | 24 Years |
Location | 10004 Kennerly Rd, St 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 |
---|---|---|---|
1790734994 | NPI | - | NPPES |
207376708 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RN0300X | Internal Medicine - Nephrology | 2005006931 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Fmc - Tesson Ferry Dialysis | Saint louis, MO | Dialysis facility |
Arnold Dialysis | Arnold, MO | Dialysis facility |
Saint Louis West Pd Dialysis | Saint louis, MO | Dialysis facility |
South Towne Square Dialysis Clinic | Saint louis, MO | Dialysis facility |
Fmc - Arnold | Arnold, MO | Dialysis facility |
Alternative Hospice | Fenton, MO | Hospice |
Mercy Hospital South | Saint louis, MO | Hospital |
Ssm Health St Mary's Hospital - St Louis | Richmond heights, MO | Hospital |
Ssm Depaul Health Center | Bridgeton, MO | Hospital |
Christian Hospital Northeast | Saint louis, MO | Hospital |
Mercy Hospital St Louis | Saint louis, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Nhs South Llc | 1658797246 | 7 |
Entity Name | Nhs South Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376166066 PECOS PAC ID: 1658797246 Enrollment ID: O20200813000677 |
Mailing Address | Practice Location Address |
---|---|
Nicholas Gourtzelis, MD Po Box 802841, Kansas City, MO 64180-2841 Ph: (314) 842-9669 | Nicholas Gourtzelis, MD 10004 Kennerly Rd, Ste 374b, St Louis, MO 63128 Ph: (314) 842-9669 |
Chantri Trinh, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 3660 Vista, St Louis, MO 63110 Phone: 314-977-8462 Fax: 314-771-8575 | |
Patrick H Durbin, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 6901 Chippewa St, St Louis, MO 63109 Phone: 314-644-7000 Fax: 314-644-7101 | |
Syed H Tariq, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 3660 Vista, St Louis, MO 63110 Phone: 314-977-8462 Fax: 314-771-8575 | |
Donald J Kennedy, MD Nephrology Medicare: Medicare Enrolled Practice Location: 3660 Vista, St Louis, MO 63110 Phone: 314-577-8648 Fax: 314-771-3816 | |
Naga Neelima Nallapaneni, M.D Nephrology Medicare: Accepting Medicare Assignments Practice Location: 4414 North Florissant, St Louis, MO 63107 Phone: 314-898-1700 Fax: 314-814-8542 | |
Dr. Jennifer A Delaney, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 11709 Old Ballas Rd, St Louis, MO 63141 Phone: 314-993-1200 Fax: 314-993-1240 | |
Mr. Basanta Subedi, MD Nephrology Medicare: Medicare Enrolled Practice Location: 6420 Clayton Road, St Louis, MO 63117 Phone: 314-768-8000 |