Basso Family Llc | |
2821 N Ballas Rd Ste C15, Saint Louis, MO 63131-2300 | |
(314) 394-8580 | |
(314) 983-9650 |
Full Name | Basso Family Llc |
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Type | Facility |
Speciality | Podiatrist |
Location | 2821 N Ballas Rd Ste C15, Saint Louis, Missouri |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245975614 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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213E00000X | Podiatrist | (* (Not Available)) | Primary |
Provider Name | Douglas K Basso |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1295191112 PECOS PAC ID: 4981956349 Enrollment ID: I20190111000067 |
Mailing Address | Practice Location Address |
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Basso Family Llc 4105 Endicott Ct, Swansea, IL 62226-8210 Ph: (618) 578-8667 | Basso Family Llc 2821 N Ballas Rd Ste C15, Saint Louis, MO 63131-2300 Ph: (314) 394-8580 |
Dr. Allen M Jacobs, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 6400 Clayton Rd, Ste 402, Saint Louis, MO 63117 Phone: 314-367-6545 Fax: 314-367-7038 | |
Thomas J. Kirisits, D.p.m., P.c. Podiatrist Medicare: Medicare Enrolled Practice Location: 1027 Bellevue Ave, Suite 145, Saint Louis, MO 63117 Phone: 314-644-6663 Fax: 314-644-1354 | |
Raymond A. Brickhouse, Dpm Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 6400 Clayton Rd, Suite 412, Saint Louis, MO 63117 Phone: 314-381-1800 Fax: 866-927-4145 | |
Dr. Lisa A Debernardi, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 5108 Hampton Ave, Saint Louis, MO 63109 Phone: 314-821-3668 Fax: 888-966-0079 | |
Dr. Perry Kent Geistler, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 12152 Tesson Ferry Rd, Saint Louis, MO 63128 Phone: 314-849-7600 Fax: 314-842-0106 |