| Blaine T Manning, MD | |
|
2325 Dougherty Ferry Rd Ste 100, Saint Louis, MO 63122-3356 | |
| (314) 909-1359 | |
| (314) 909-1370 |
| Full Name | Blaine T Manning |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 8 Years |
| Location | 2325 Dougherty Ferry Rd Ste 100, Saint Louis, 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 |
|---|---|---|---|
| 1366937138 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 95437 (Georgia) | Secondary |
| 207X00000X | Orthopaedic Surgery | 2018020296 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Good Samaritan Hospital | Vincennes, IN | Hospital |
| Ascension St Vincent Evansville | Evansville, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tri-state Orthopaedic Surgeons Inc | 6800781949 | 68 |
| Entity Name | Tri-state Orthopaedic Surgeons Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073501003 PECOS PAC ID: 6800781949 Enrollment ID: O20040218000455 |
| Mailing Address | Practice Location Address |
|---|---|
| Blaine T Manning, MD 1120 15th St # Or6000, Augusta, GA 30912-0004 Ph: (706) 721-3813 | Blaine T Manning, MD 2325 Dougherty Ferry Rd Ste 100, Saint Louis, MO 63122-3356 Ph: (314) 909-1359 |
Nathan M Fisher, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 12639 Old Tesson Rd Ste 115, Saint Louis, MO 63128 Phone: 314-849-0311 Fax: 314-849-4423 | |
Dr. Wassim Mourad, MD, MHCM Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1008 S Spring Ave Rm 1114, Saint Louis, MO 63110 Phone: 314-977-4102 | |
Dr. Moneer Moustafa Abouljoud, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110 Phone: 314-747-2835 | |
Dr. Brian Adams Kelly, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 4921 Parkview Pl, Dept Orthopaedic Surgery, Ste 6a/6b/12a, Saint Louis, MO 63110 Phone: 314-514-3500 Fax: 314-878-7678 | |
Thomas John Revak, DO Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1008 South Spring Avenue, Orthopaedic Surgery, Slucare Administrative Pavillion F, Saint Louis, MO 63110 Phone: 314-977-5350 | |
Dr. Nicholas Andrew Pallotta, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4921 Parkview Pl, Dept Orthopaedic Surgery, Ste 6a/6b/12a, Saint Louis, MO 63110 Phone: 314-514-3500 Fax: 314-878-7678 | |
Travis J Junge, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 701 S New Ballas Rd Ste 510, Saint Louis, MO 63141 Phone: 314-251-6710 Fax: 314-251-6712 |