Dr Harlan Dru Hodges, MD | |
12303 Depaul Dr, Depaul Health Center, Bridgeton, MO 63044 | |
(314) 344-6000 | |
(630) 734-1560 |
Full Name | Dr Harlan Dru Hodges |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 28 Years |
Location | 12303 Depaul Dr, Bridgeton, Missouri |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063494581 | NPI | - | NPPES |
205195522 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 118457 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ssm Depaul Health Center | Bridgeton, MO | Hospital |
Christian Hospital Northeast | Saint louis, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southeastern Emergency Physicians Of Memphis Llc | 5395643209 | 80 |
Entity Name | Southeastern Emergency Physicians Of Memphis Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437105277 PECOS PAC ID: 5395643209 Enrollment ID: O20060711000434 |
Entity Name | Bridgeton Emergency Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053660076 PECOS PAC ID: 5193978948 Enrollment ID: O20130104000140 |
Entity Name | Southeast Health Center Of Stoddard County Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477997567 PECOS PAC ID: 7315192515 Enrollment ID: O20130605000128 |
Entity Name | Cep America Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619332046 PECOS PAC ID: 6608056171 Enrollment ID: O20150312000325 |
Mailing Address | Practice Location Address |
---|---|
Dr Harlan Dru Hodges, MD Po Box 4853, Dept 4036, Oak Brook, IL 60522-4853 Ph: (630) 734-0200 | Dr Harlan Dru Hodges, MD 12303 Depaul Dr, Depaul Health Center, Bridgeton, MO 63044 Ph: (314) 344-6000 |
Norman J Ehlinger Jr., DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3436a Mckelvey Rd, Bridgeton, MO 63044 Phone: 314-739-5518 Fax: 314-739-1223 | |
Laura Marie Viero-dothage, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 12303 Depaul Dr, Depaul Health Center, Bridgeton, MO 63044 Phone: 314-344-6000 Fax: 630-734-1560 | |
Dr. Anil Kumar Srivastava, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 12266 De Paul Dr Ste 305, Bridgeton, MO 63044 Phone: 314-770-0991 | |
Timothy F Reed, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 12303 Depaul Drive, Bridgeton, MO 63044 Phone: 314-344-6000 | |
Andrew J Wahle, PA Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 12303 Depaul Dr, Depaul Health Center, Bridgeton, MO 63044 Phone: 314-344-6000 Fax: 630-734-1560 | |
Gilbert N Jones, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 12303 Depaul Drive, Bridgeton, MO 63044 Phone: 314-344-6000 |