Mb Professional Billing Services, Llc | |
3015 N Ballas Rd Saint Louis MO 63131-2329 | |
(314) 996-5737 | |
Not Available |
Full Name | Mb Professional Billing Services, Llc |
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Speciality | Clinic/Center |
Location | 3015 N Ballas Rd, Saint Louis, Missouri |
Authorized Official Name and Position | Ann Abad (PRESIDENT) |
Authorized Official Contact | 3149968401 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mb Professional Billing Services, Llc 3015 N Ballas Rd Saint Louis MO 63131-2329 Ph: (314) 996-5000 | Mb Professional Billing Services, Llc 3015 N Ballas Rd Saint Louis MO 63131-2329 Ph: (314) 996-5737 |
NPI Number | 1174663900 |
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Provider Enumeration Date | 02/08/2007 |
Last Update Date | 01/20/2023 |
Medicare PECOS PAC ID | 6406109792 |
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Medicare Enrollment ID | O20181102002650 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174663900 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Provider Name | David W Strege |
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Provider Type | Practitioner - Hand Surgery |
Provider Identifiers | NPI Number: 1316974439 PECOS PAC ID: 4082502869 Enrollment ID: I20040312001297 |
Provider Name | Michael F Burns |
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Provider Type | Practitioner - Sports Medicine |
Provider Identifiers | NPI Number: 1225071129 PECOS PAC ID: 4880678739 Enrollment ID: I20040617000171 |
Provider Name | Richard Johnston |
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Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1518968759 PECOS PAC ID: 6103849369 Enrollment ID: I20070419000450 |
Provider Name | Jesse G Susi |
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Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1033145875 PECOS PAC ID: 6103907829 Enrollment ID: I20100513000541 |
Provider Name | John E Tessier |
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Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1912935750 PECOS PAC ID: 6507877180 Enrollment ID: I20100621000734 |
Provider Name | Jennifer L Ledbetter |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356692669 PECOS PAC ID: 3274785183 Enrollment ID: I20121128000341 |
Provider Name | Rebecca Marie Stauder |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952928665 PECOS PAC ID: 0840617650 Enrollment ID: I20200825002284 |
Provider Name | Mitchell Wattles |
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Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1598127615 PECOS PAC ID: 7315219813 Enrollment ID: I20220927000741 |
Provider Name | Douglas Matijakovich |
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Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1316471394 PECOS PAC ID: 2466799036 Enrollment ID: I20230828001321 |
St. Louis Center For Preventive And Longevity Medicine, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 777 S New Ballas Rd, Suite 200 E, Saint Louis, MO 63141 Phone: 314-994-1536 Fax: 314-692-0241 | |
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