| Aurora Gonzalez, MD | |
|
100 Medical Plaza, Lake St Louis, MO 63367 | |
| (636) 625-5303 | |
| (636) 625-5403 |
| Full Name | Aurora Gonzalez |
|---|---|
| Gender | Female |
| Speciality | Diagnostic Radiology |
| Experience | 41 Years |
| Location | 100 Medical Plaza, Lake St Louis, Missouri |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376582502 | NPI | - | NPPES |
| 2744043 | Medicaid | OH | |
| 200859790A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 35078738 (Ohio) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 2009008660 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ssm St Joseph Hospital West | Lake saint louis, MO | Hospital |
| Ssm St Joseph Health Center | Saint charles, MO | Hospital |
| Ssm Depaul Health Center | Bridgeton, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Radiologic Imaging Consultants, Llp | 4587652748 | 16 |
| Entity Name | Radiologic Imaging Consultants, Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871689505 PECOS PAC ID: 4587652748 Enrollment ID: O20040505000834 |
| Mailing Address | Practice Location Address |
|---|---|
| Aurora Gonzalez, MD 220 Compass Point Dr., St Charles, MO 63301 Ph: (636) 947-4480 | Aurora Gonzalez, MD 100 Medical Plaza, Lake St Louis, MO 63367 Ph: (636) 625-5303 |
David L Pohl, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 100 Medical Plz, Lake St Louis, MO 63367 Phone: 636-625-5303 | |
Yu Chen, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 400 Medical Plz Ste 100, Lake St Louis, MO 63367 Phone: 636-638-8600 | |
Edward Cohen, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 100 Medical Plz, Lake St Louis, MO 63367 Phone: 636-625-5303 | |
John Morris Bedwinek, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 400 Medical Plz Ste 100, Lake St Louis, MO 63367 Phone: 636-695-2316 Fax: 636-639-8676 |