| St Louis Medical Professionals, Llc | |
|
8790 Watson Rd Suite 201 Saint Louis MO 63119-5140 | |
| (314) 543-2800 | |
| (314) 543-2801 |
| Full Name | St Louis Medical Professionals, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 8790 Watson Rd, Saint Louis, Missouri |
| Authorized Official Name and Position | Neeveen Salama (BILLING) |
| Authorized Official Contact | 3145432800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St Louis Medical Professionals, Llc 8790 Watson Rd Suite 201 Saint Louis MO 63119-5140 Ph: (314) 543-2800 | St Louis Medical Professionals, Llc 8790 Watson Rd Suite 201 Saint Louis MO 63119-5140 Ph: (314) 543-2800 |
| NPI Number | 1396826152 |
|---|---|
| Provider Enumeration Date | 10/18/2006 |
| Last Update Date | 06/26/2024 |
| Medicare PECOS PAC ID | 7012937253 |
|---|---|
| Medicare Enrollment ID | O20051201000971 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396826152 | NPI | - | NPPES |
| 507345502 | Medicaid | MO | |
| 133658 | Other | MO | BLUE CROSS BLUE SHIELD |
| CJ3494 | Other | MO | MEIDCARE RAILROAD |
| 62328300001 | Other | MO | DMEPTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Secondary |
| Provider Name | Phu Thanh Tran |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427095132 PECOS PAC ID: 3072562362 Enrollment ID: I20050113000337 |
| Provider Name | Hany S Salama |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619064656 PECOS PAC ID: 4587763404 Enrollment ID: I20071204000856 |
| Provider Name | Denise Flynn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063956910 PECOS PAC ID: 1951685189 Enrollment ID: I20170307000437 |
St. Louis Center For Preventive And Longevity Medicine, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 777 S New Ballas Rd, Suite 200 E, Saint Louis, MO 63141 Phone: 314-994-1536 Fax: 314-692-0241 | |
Town And Country Primary Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3009 N Ballas Rd, Suite 300a, Saint Louis, MO 63131 Phone: 314-872-8999 | |
Family Care Health Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 Lynch St, Saint Louis, MO 63118 Phone: 314-531-5444 Fax: 314-531-0063 | |
Wusm Bjc Aco Providers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 660 S Euclid Ave, Campus Box 8081, Saint Louis, MO 63110 Phone: 314-273-0770 | |
Dtg Ii Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3819 Tesson Ct, Saint Louis, MO 63123 Phone: 800-268-7713 Fax: 415-704-3294 |