Dr Richard A Felkel, MD | |
100 Brevco Plz, Ste 101, Lake Saint Louis, MO 63367-1382 | |
(636) 561-5437 | |
(636) 561-5100 |
Full Name | Dr Richard A Felkel |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 100 Brevco Plz, Lake Saint 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 |
---|---|---|---|
1689643819 | NPI | - | NPPES |
200041209 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 112703 (Missouri) | Primary |
Entity Name | Wuca-westside Pediatrics Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700325123 PECOS PAC ID: 6507141074 Enrollment ID: O20170323002293 |
Mailing Address | Practice Location Address |
---|---|
Dr Richard A Felkel, MD Po Box 505405, Saint Louis, MO 63150-5405 Ph: (636) 561-5437 | Dr Richard A Felkel, MD 100 Brevco Plz, Ste 101, Lake Saint Louis, MO 63367-1382 Ph: (636) 561-5437 |
Connor Scott Corcoran, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Medical Plz, Lake Saint Louis, MO 63367 Phone: 314-628-4095 | |
Jason Gutting, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Medical Plz, Lake Saint Louis, MO 63367 Phone: 636-625-5200 | |
Dr. Kris Ann Roberts, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Brevco Plz, Ste 101, Lake Saint Louis, MO 63367 Phone: 636-561-5437 Fax: 636-561-5100 |