Ssm Health Medical Group | |
12255 De Paul Dr Suite 500 Bridgeton MO 63044 | |
(314) 209-5180 | |
(314) 209-5153 |
Full Name | Ssm Health Medical Group |
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Speciality | Durable Medical Equipment & Medical Supplies |
Location | 12255 De Paul Dr, Bridgeton, Missouri |
Authorized Official Name and Position | Karen Rewerts (VP FINANCIAL OPERATIONS) |
Authorized Official Contact | 3149892034 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ssm Health Medical Group 3221 Mckelvey Rd Ste 301 Bridgeton MO 63044-2551 Ph: (636) 498-5944 | Ssm Health Medical Group 12255 De Paul Dr Suite 500 Bridgeton MO 63044 Ph: (314) 209-5180 |
NPI Number | 1477564581 |
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Provider Enumeration Date | 08/11/2006 |
Last Update Date | 08/18/2020 |
Medicare PECOS PAC ID | 6608776299 |
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Medicare Enrollment ID | O20181115000997 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477564581 | NPI | - | NPPES |
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