Carl Keith Callahan, CNP | |
13131 Tesson Ferry Rd Ste 220, Saint Louis, MO 63128-3887 | |
(314) 394-1379 | |
(314) 394-1377 |
Full Name | Carl Keith Callahan |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 9 Years |
Location | 13131 Tesson Ferry Rd Ste 220, Saint Louis, 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 |
---|---|---|---|
1750755849 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 2015039591 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ssm Depaul Health Center | Bridgeton, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ssm Health Care St Louis | 7810800737 | 143 |
Entity Name | Ssm Health Care St Louis |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275586174 PECOS PAC ID: 7810800737 Enrollment ID: O20031118000393 |
Entity Name | Ssm Cardinal Glennon Children's Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174577670 PECOS PAC ID: 7012828163 Enrollment ID: O20031231000604 |
Entity Name | Impact Physician Group Missouri Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962971531 PECOS PAC ID: 4082958574 Enrollment ID: O20181211001514 |
Mailing Address | Practice Location Address |
---|---|
Carl Keith Callahan, CNP 13131 Tesson Ferry Rd, Ste 220, Saint Louis, MO 63128-3887 Ph: (314) 394-1379 | Carl Keith Callahan, CNP 13131 Tesson Ferry Rd Ste 220, Saint Louis, MO 63128-3887 Ph: (314) 394-1379 |
Stephanie Lynn Shorey, WHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 621 S New Ballas Rd, Suite 2007b, Saint Louis, MO 63141 Phone: 314-991-5000 | |
Mr. Gary John Gardner, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4251 Forest Park Ave, Saint Louis, MO 63108 Phone: 618-363-9545 | |
Ms. Kim M French, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4921 Parkview Pl, Div Im Hematology, Ste 7b, Saint Louis, MO 63110 Phone: 314-362-7216 Fax: 314-362-8813 | |
Barbara Ann Giese, RN, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 456 N New Ballas Rd, Suite 304, Saint Louis, MO 63141 Phone: 314-567-6868 Fax: 314-567-0578 | |
Mrs. Anna Ouida Barton, WHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9450 Manchester Rd Ste 206, Saint Louis, MO 63119 Phone: 314-725-9300 | |
Mrs. Emily Carol Kemp, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Parkview Pl, Div Im Medical Oncology, Saint Louis, MO 63110 Phone: 800-647-2098 Fax: 314-362-3192 | |
Mrs. Michelle Marie Bloom, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Barnes Jewish Hospital Plz, Dept Anesthesiology, Saint Louis, MO 63110 Phone: 800-862-9980 Fax: 314-362-1185 |