| Ladue Internal Medicine, Llc | |
|
8857b Ladue Rd Saint Louis MO 63124-2058 | |
| (314) 682-3626 | |
| (314) 590-5954 |
| Full Name | Ladue Internal Medicine, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 8857b Ladue Rd, Saint Louis, Missouri |
| Authorized Official Name and Position | James Snider (VP PHYSICIAN NETWORK) |
| Authorized Official Contact | 6366857804 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ladue Internal Medicine, Llc 8857b Ladue Rd Saint Louis MO 63124-2058 Ph: (314) 682-3626 | Ladue Internal Medicine, Llc 8857b Ladue Rd Saint Louis MO 63124-2058 Ph: (314) 682-3626 |
| NPI Number | 1689072324 |
|---|---|
| Provider Enumeration Date | 12/11/2014 |
| Last Update Date | 02/12/2021 |
| Medicare PECOS PAC ID | 3870818784 |
|---|---|
| Medicare Enrollment ID | O20150218000985 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689072324 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
| Provider Name | Terri L Carron |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881636439 PECOS PAC ID: 5092843912 Enrollment ID: I20100513000188 |
| Provider Name | Sarah Elizabeth Beckmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275257966 PECOS PAC ID: 2668848649 Enrollment ID: I20221017000476 |
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