Renuka E Peterson, MD | |
1465 S Grand Blvd, Saint Louis, MO 63104-1003 | |
(314) 577-5380 | |
(314) 268-4141 |
Full Name | Renuka E Peterson |
---|---|
Gender | Female |
Speciality | Cardiovascular Disease (cardiology) |
Experience | 25 Years |
Location | 1465 S Grand Blvd, Saint Louis, Missouri |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194823310 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0202X | Pediatrics - Pediatric Cardiology | A78953 (California) | Secondary |
2080P0202X | Pediatrics - Pediatric Cardiology | 2009020687 (Missouri) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ssm Health Care Group | 0143608372 | 690 |
Entity Name | Ssm Health Care Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306589544 PECOS PAC ID: 0143608372 Enrollment ID: O20220531002655 |
Mailing Address | Practice Location Address |
---|---|
Renuka E Peterson, MD 1465 S Grand Blvd, Saint Louis, MO 63104-1003 Ph: (314) 577-5633 | Renuka E Peterson, MD 1465 S Grand Blvd, Saint Louis, MO 63104-1003 Ph: (314) 577-5380 |
Dr. Rachel Elizabeth Granberg, MD, MPH Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Childrens Pl Msc 8116-0043-09, Saint Louis, MO 63110 Phone: 314-454-6018 Fax: 844-621-4392 | |
Timothy J Kutz, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1465 S Grand Blvd, Saint Louis, MO 63104 Phone: 314-268-6406 Fax: 314-268-2712 | |
Dr. William L Rives, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Childrens Pl, Div Ped Hospitalist Med, Saint Louis, MO 63110 Phone: 314-454-2076 Fax: 314-747-8953 | |
Dr. Linda A Tackes, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5114 Mid America Plz, Ste 2c, Saint Louis, MO 63129 Phone: 314-859-4000 Fax: 314-273-4110 | |
Dr. Peter M Kilbridge, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1 Childrens Pl, Suite C, Saint Louis, MO 63110 Phone: 314-454-2479 Fax: 314-454-2524 | |
Sarah B. Aschkenasi, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 660 S Euclid Ave, Saint Louis, MO 63110 Phone: 314-286-1264 Fax: 314-454-8869 | |
Dr. Jeffrey Magee, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Childrens Pl, Div Ped Hematology And Onc, Ste 9s, Saint Louis, MO 63110 Phone: 314-454-6018 Fax: 844-621-4392 |