Robert Riordan Mac Donald, MD | |
4790 Executive Centre Pkwy, Saint Peters, MO 63376-1606 | |
(636) 441-3100 | |
(636) 441-6784 |
Full Name | Robert Riordan Mac Donald |
---|---|
Gender | Male |
Speciality | Otolaryngology |
Experience | 35 Years |
Location | 4790 Executive Centre Pkwy, Saint Peters, 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 |
---|---|---|---|
1861417156 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | MO103596 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Barnes-jewish St Peters Hospital | Saint peters, MO | Hospital |
Ssm St Joseph Hospital West | Lake saint louis, MO | Hospital |
Ssm St Joseph Health Center | Saint charles, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Midwest Ent Centre, Pc | 5597839878 | 13 |
Entity Name | Midwest Ent Centre, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932236650 PECOS PAC ID: 5597839878 Enrollment ID: O20080805000238 |
Mailing Address | Practice Location Address |
---|---|
Robert Riordan Mac Donald, MD 4790 Executive Centre Pkwy, Saint Peters, MO 63376-1606 Ph: (636) 441-3100 | Robert Riordan Mac Donald, MD 4790 Executive Centre Pkwy, Saint Peters, MO 63376-1606 Ph: (636) 441-3100 |
Benjamin Michael Conoyer, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 4790 Executive Centre Pkwy, Saint Peters, MO 63376 Phone: 636-441-3100 | |
Martin Lee Willman, M.D. Otolaryngology Medicare: Medicare Enrolled Practice Location: 4790 Executive Centre Pkwy, Saint Peters, MO 63376 Phone: 636-441-3100 Fax: 636-441-6784 | |
John Michael Conoyer, M.D. Otolaryngology Medicare: Medicare Enrolled Practice Location: 4790 Executive Centre Pkwy, Saint Peters, MO 63376 Phone: 636-441-3100 Fax: 636-441-6784 | |
Dr. Matthew Philip Page, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 4790 Executive Centre Pkwy, Saint Peters, MO 63376 Phone: 636-441-3100 Fax: 636-441-6784 | |
Nicole Jean Bochtler, FNP Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 4790 Executive Centre Pkwy, Saint Peters, MO 63376 Phone: 636-441-3100 | |
Karen Elizabeth Boone, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 4790 Executive Centre Pkwy, Saint Peters, MO 63376 Phone: 636-441-3100 Fax: 636-441-6784 |