Ms Rebecca Boucard, | |
615 S New Ballas Rd Dept Of, Saint Louis, MO 63141-8221 | |
(636) 386-9224 | |
(636) 386-7679 |
Full Name | Ms Rebecca Boucard |
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Gender | Female |
Speciality | Anesthesiologist Assistant |
Location | 615 S New Ballas Rd Dept Of, Saint Louis, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881355030 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367H00000X | Anesthesiologist Assistant | 2023049874 (Missouri) | Primary |
Entity Name | Western Anesthesiology Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275646754 PECOS PAC ID: 6204720667 Enrollment ID: O20040226000438 |
Mailing Address | Practice Location Address |
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Ms Rebecca Boucard, 57 Executive Park South Suite 300, Atlanta, GA 30329 Ph: () - | Ms Rebecca Boucard, 615 S New Ballas Rd Dept Of, Saint Louis, MO 63141-8221 Ph: (636) 386-9224 |
Jeremy Stephen Colyer, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 10010 Kennerly Rd, Saint Louis, MO 63128 Phone: 636-386-7222 Fax: 636-200-4036 | |
Mrs. Maria Jones, C-AA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 615 S New Ballas Rd Dept Of, Saint Louis, MO 63141 Phone: 636-386-9224 Fax: 636-200-4243 | |
Alexander Sextro, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 11133 Dunn Rd, Saint Louis, MO 63136 Phone: 314-653-5000 | |
Alexis Haas Stewart, Anesthesiologist Assistant Medicare: May Accept Medicare Assignments Practice Location: 1465 S Grand Blvd, Saint Louis, MO 63104 Phone: 314-977-5700 | |
Mr. Brian J Ho, A.A. Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 615 S New Ballas Rd, Dept. Of Anesthesiology, Saint Louis, MO 63141 Phone: 314-251-4687 Fax: 636-200-4243 | |
Laheart Marie Rodney, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1465 S Grand Blvd, Saint Louis, MO 63104 Phone: 314-268-7267 | |
Mr. Nick Balarama Rodriguez, AA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 615 S New Ballas Rd Dept Of, Saint Louis, MO 63141 Phone: 636-386-9224 Fax: 636-386-7679 |