Paul Larsen, | |
1027 Bellevue Ave Ste 200, Saint Louis, MO 63117-1851 | |
(314) 645-6450 | |
Not Available |
Full Name | Paul Larsen |
---|---|
Gender | Male |
Speciality | Cardiovascular Disease (cardiology) |
Experience | 12 Years |
Location | 1027 Bellevue Ave Ste 200, 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 |
---|---|---|---|
1427315423 | NPI | - | NPPES |
2020022472 | Other | MO | LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0000X | Internal Medicine - Cardiovascular Disease | 2020022472 (Missouri) | Primary |
207RC0000X | Internal Medicine - Cardiovascular Disease | 036.140112 (Illinois) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Ssm Health St Mary's Hospital - St Louis | Richmond heights, MO | Hospital |
Ssm St Clare Health Center | Fenton, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ssm Medical Group Inc | 6608776299 | 496 |
Ssm Health Care St Louis | 7810800737 | 143 |
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 | Ssm Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700966207 PECOS PAC ID: 6608776299 Enrollment ID: O20040729001034 |
Mailing Address | Practice Location Address |
---|---|
Paul Larsen, Po Box 955534, Saint Louis, MO 63195-5534 Ph: () - | Paul Larsen, 1027 Bellevue Ave Ste 200, Saint Louis, MO 63117-1851 Ph: (314) 645-6450 |
Dr. Isik Turker, MD Cardiovascular Disease 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. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 915 N Grand Blvd, Saint Louis, MO 63106 Phone: 314-652-4100 | |
Dr. Faris Adam Bakeer, MD Cardiovascular Disease 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 Cardiovascular Disease 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. Cardiovascular Disease 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 Cardiovascular Disease 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 Cardiovascular Disease 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 |