Suzanne M Pautler, MD | |
1445 Christy Dr, Jefferson City, MO 65101-2853 | |
(573) 636-3483 | |
(573) 636-5315 |
Full Name | Suzanne M Pautler |
---|---|
Gender | Female |
Speciality | Anesthesiology |
Experience | 39 Years |
Location | 1445 Christy Dr, Jefferson City, 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 |
---|---|---|---|
1083609697 | NPI | - | NPPES |
P00387102 | Other | MO | RR MEDICARE |
203681523 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | R1K42 (Missouri) | Primary |
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: O20031219000779 |
Mailing Address | Practice Location Address |
---|---|
Suzanne M Pautler, MD 525 Couch Ave, Kirkwood, MO 63122-5536 Ph: (573) 636-3483 | Suzanne M Pautler, MD 1445 Christy Dr, Jefferson City, MO 65101-2853 Ph: (573) 636-3483 |
Scott W. Tanner, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1445 Christy Dr, Jefferson City, MO 65101 Phone: 573-636-3483 Fax: 573-636-5315 | |
Mark R. Frederick, DO Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1445 Christy Dr, Jefferson City, MO 65101 Phone: 573-636-3483 Fax: 573-636-5315 | |
Thomas E Hetherington, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1125 Madison St, Jefferson City, MO 65101 Phone: 573-632-5000 | |
Dr. Deana Michelle Berrey, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1241 W Stadium Blvd, Jefferson City, MO 65109 Phone: 573-556-5771 | |
Dr. Nicolette Christine Wise, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1125 Madison St, Jefferson City, MO 65101 Phone: 316-268-5000 | |
Adelia L. Doerhoff, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1445 Christy Dr, Jefferson City, MO 65101 Phone: 573-636-3483 Fax: 573-636-5315 |