| Bryan Thomas Whitlow, MD | |
|
12255 De Paul Dr Ste 120, Bridgeton, MO 63044-2513 | |
| (314) 291-7900 | |
| Not Available |
| Full Name | Bryan Thomas Whitlow |
|---|---|
| Gender | Male |
| Speciality | Interventional Pain Management |
| Experience | 9 Years |
| Location | 12255 De Paul Dr Ste 120, 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 |
|---|---|---|---|
| 1962856682 | NPI | - | NPPES |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ssm Depaul Health Center | Bridgeton, MO | Hospital |
| St Lukes Hospital | Chesterfield, MO | Hospital |
| Mercy Hospital Jefferson | Festus, MO | Hospital |
| Mercy Hospital Lincoln | Troy, MO | Hospital |
| Mercy Hospital St Louis | Saint louis, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aging Well Health Care, Llc | 1153232038 | 189 |
| Interventional Pain Institute, Llc | 1153451919 | 8 |
| Ssm Medical Group Inc | 6608776299 | 500 |
| Entity Name | Ssm Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700966207 PECOS PAC ID: 6608776299 Enrollment ID: O20040729001034 |
| Entity Name | Interventional Pain Institute, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336461771 PECOS PAC ID: 1153451919 Enrollment ID: O20100605000061 |
| Mailing Address | Practice Location Address |
|---|---|
| Bryan Thomas Whitlow, MD Po Box 955534, Saint Louis, MO 63195-5534 Ph: () - | Bryan Thomas Whitlow, MD 12255 De Paul Dr Ste 120, Bridgeton, MO 63044-2513 Ph: (314) 291-7900 |
Ramis Gheith, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 12255 De Paul Dr Ste 120, Bridgeton, MO 63044 Phone: 636-933-2243 | |
Thomas Shaw, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 12303 De Paul Dr, Bridgeton, MO 63044 Phone: 314-344-6000 | |
Ms. Isabel B Perez, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 12303 De Paul Dr, Bridgeton, MO 63044 Phone: 314-344-7049 Fax: 314-344-7073 | |
Mr. Soon H Kim, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 12303 Depaul Drive, Bridgeton, MO 63044 Phone: 314-344-7049 Fax: 314-344-7073 | |
Mr. Marcellus R Lawrence, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 12303 De Paul Dr, Bridgeton, MO 63044 Phone: 314-344-7049 Fax: 314-344-7073 | |
Mr. Alan R Schneider, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 12303 De Paul Dr, Bridgeton, MO 63044 Phone: 314-344-7049 Fax: 314-344-7073 | |
Ms. Vijayalakshmi Vallurupalli, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 12303 De Paul Dr, Bridgeton, MO 63044 Phone: 314-344-7049 Fax: 314-344-7073 |