Stacy Beaty, MD | |
1755 S Grand, St Louis, MO 63104 | |
(314) 256-3433 | |
(314) 256-3431 |
Full Name | Stacy Beaty |
---|---|
Gender | Female |
Speciality | Dermatology |
Experience | 23 Years |
Location | 1755 S Grand, St 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 |
---|---|---|---|
1669499638 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 2005004429 (Missouri) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northeast Tarrant Dermatology Inc | 6002801164 | 4 |
Entity Name | Northeast Tarrant Dermatology Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235357666 PECOS PAC ID: 6002801164 Enrollment ID: O20040417000444 |
Mailing Address | Practice Location Address |
---|---|
Stacy Beaty, MD 3691 Rutger Ave, Provider Enrollment, St Louis, MO 63110 Ph: (314) 977-6828 | Stacy Beaty, MD 1755 S Grand, St Louis, MO 63104 Ph: (314) 256-3433 |
Lester Thomas Reese, MD Dermatology Medicare: Medicare Enrolled Practice Location: 522 North New Ballas Road, Suite 316, St Louis, MO 63141 Phone: 314-567-5873 Fax: 314-567-4040 | |
Madhavi Kandula, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 845 North New Ballas Court, Suite 310, St Louis, MO 63141 Phone: 314-692-0221 Fax: 314-692-0686 | |
Natalie L Semchyshyn, Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1755 S Grand, St Louis, MO 63104 Phone: 314-256-3400 | |
Joseph Duvall, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1755 S Grand, St Louis, MO 63104 Phone: 314-256-3433 Fax: 214-256-3431 | |
Ms. Madeliene Elaine Gainers, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 660 S. Euclid Avenue, Washington Univ Med Ctr/div Of Dermatology, St Louis, MO 63110 Phone: 314-454-8622 Fax: 314-454-5928 |