Dr Jacqueline Elise Payton, MD | |
4320 Forest Park Ave, Div Pa Lab And Genomic Med, Ste 209, Saint Louis, MO 63108-2979 | |
(314) 362-5641 | |
(314) 362-0369 |
Full Name | Dr Jacqueline Elise Payton |
---|---|
Gender | Female |
Speciality | Pathology - Clinical Pathology/laboratory Medicine |
Location | 4320 Forest Park Ave, Saint Louis, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750407714 | NPI | - | NPPES |
200118891 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0105X | Pathology - Clinical Pathology/laboratory Medicine | 2008022583 (Missouri) | Primary |
Entity Name | Washington University |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316987746 PECOS PAC ID: 9830008770 Enrollment ID: O20040406001038 |
Mailing Address | Practice Location Address |
---|---|
Dr Jacqueline Elise Payton, MD Po Box 60352, Saint Louis, MO 63160-0352 Ph: (314) 362-5641 | Dr Jacqueline Elise Payton, MD 4320 Forest Park Ave, Div Pa Lab And Genomic Med, Ste 209, Saint Louis, MO 63108-2979 Ph: (314) 362-5641 |
Dr. Erin Elizabeth Ely, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 1300 Clark Ave, Saint Louis, MO 63103 Phone: 314-622-4971 Fax: 314-977-7615 | |
Dr. Richard Justin Perrin, MD Pathology Medicare: Medicare Enrolled Practice Location: 1 Barnes Jewish Hospital Plz, Div Pa Anatomic And Molecular Path, Saint Louis, MO 63110 Phone: 314-362-5641 Fax: 314-362-0369 | |
Dr. Shouying Du, M.D Pathology Medicare: Accepting Medicare Assignments Practice Location: 6420 Clayton Rd, Saint Louis, MO 63117 Phone: 314-344-7525 Fax: 314-344-7226 | |
Virgilio P Dumadag, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 3015 N Ballas Rd, Department Of Pathology, Saint Louis, MO 63131 Phone: 314-996-4285 Fax: 314-996-5551 | |
Alexander D Babich, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 6420 Clayton Rd, Saint Louis, MO 63117 Phone: 314-768-8202 Fax: 314-768-7145 | |
Mary A. Rudloff, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 11133 Dunn Rd, Dept. Of Pathology, Saint Louis, MO 63136 Phone: 314-653-5630 Fax: 314-653-4099 | |
Dr. Beverly Kraemer, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 660 Office Pkwy, Saint Louis, MO 63141 Phone: 314-991-8015 Fax: 314-991-0691 |