Stacey A Mormol, CRNA | |
1015 Bowles Ave, Fenton, MO 63026-2394 | |
(636) 496-2000 | |
Not Available |
Full Name | Stacey A Mormol |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 15 Years |
Location | 1015 Bowles Ave, Fenton, 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 |
---|---|---|---|
1083933626 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 123598 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ssm Depaul Health Center | Bridgeton, MO | Hospital |
Ssm St Clare Health Center | Fenton, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Metro-west Anesthesia Group Inc | 2163329921 | 149 |
Entity Name | Metro-west Anesthesia Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245427335 PECOS PAC ID: 2163329921 Enrollment ID: O20031218000563 |
Mailing Address | Practice Location Address |
---|---|
Stacey A Mormol, CRNA 13515 Barrett Parkway Dr Ste 170, Ballwin, MO 63021-5870 Ph: (314) 775-2816 | Stacey A Mormol, CRNA 1015 Bowles Ave, Fenton, MO 63026-2394 Ph: (636) 496-2000 |
Dr. Michael Scott Boedefeld, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1055 Bowles Ave Ste 202, Fenton, MO 63026 Phone: 636-386-7222 Fax: 636-386-7810 | |
Marlayna F Schaffer, CRNA Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1015 Bowles Ave, Fenton, MO 63026 Phone: 636-496-2000 | |
Dr. Cyrene D Grothaus-day, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1378 Mosswoods Dr, Fenton, MO 63026 Phone: 636-861-1676 |