Charles B Mcdonnell, PT, CHT | |
4800 Mexico Rd, Suite 104, St Peters, MO 63376-1666 | |
(636) 939-9540 | |
(636) 939-9886 |
Full Name | Charles B Mcdonnell |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 4800 Mexico Rd, St Peters, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427002476 | NPI | - | NPPES |
P00165252 | Other | MO | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 01008 (Missouri) | Primary |
2251H1200X | Physical Therapist - Hand | 9209001425 (Missouri) | Secondary |
Provider Name | Babar Enterprises Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1033178827 PECOS PAC ID: 2365342318 Enrollment ID: O20050803000709 |
Mailing Address | Practice Location Address |
---|---|
Charles B Mcdonnell, PT, CHT 2454 W Clay St, Saint Charles, MO 63301-2548 Ph: (636) 916-4625 | Charles B Mcdonnell, PT, CHT 4800 Mexico Rd, Suite 104, St Peters, MO 63376-1666 Ph: (636) 939-9540 |
Elizabeth Krueger, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 4800 Mexico Rd, Suite 104, St Peters, MO 63376 Phone: 636-928-4199 Fax: 636-922-0818 | |
Diane Keeven, P. T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4800 Mexico Rd, Suite 104, St Peters, MO 63376 Phone: 636-939-9540 Fax: 636-939-9886 | |
Mr. Shane Michael Lawler, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 104 Jungerman Rd, Suite F, St Peters, MO 63376 Phone: 636-926-2641 Fax: 636-926-3385 | |
Julie Fernandez, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4800 Mexico Rd, Suite 104, St Peters, MO 63376 Phone: 636-928-4199 Fax: 636-922-0818 | |
Jennifer N Rutkowski, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4800 Mexico Rd, Suite 104, St Peters, MO 63376 Phone: 636-939-9540 Fax: 636-939-9886 | |
Mr. Keith A Oakes, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 221 Spencer Rd, Suite D, St Peters, MO 63376 Phone: 636-447-9911 Fax: 636-477-9929 |