| Caroline M Rudnick, MD | |
|
2325 Dougherty Ferry Rd, St Louis, MO 63122 | |
| (314) 977-9600 | |
| (314) 977-9627 |
| Full Name | Caroline M Rudnick |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 2325 Dougherty Ferry Rd, St 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 |
|---|---|---|---|
| 1700803319 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 108537 (Missouri) | Primary |
| Entity Name | SSM Health Care Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306589544 PECOS PAC ID: 0143608372 Enrollment ID: O20220531002655 |
| Mailing Address | Practice Location Address |
|---|---|
| Caroline M Rudnick, MD 3691 Rutger Ave, Provider Enrollment, St Louis, MO 63110 Ph: (314) 977-4440 | Caroline M Rudnick, MD 2325 Dougherty Ferry Rd, St Louis, MO 63122 Ph: (314) 977-9600 |
Dr. Christopher Michael Perry, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 11155 Dunn Rd, Ste 102 North, St Louis, MO 63136 Phone: 314-355-4700 Fax: 314-355-4707 |
Dr. Renato G Villafuerte, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3450 Bridgeland Drive, Suite G, St Louis, MO 63044 Phone: 314-770-1805 Fax: 314-770-0836 |
Dr. Dick (richard) Ralph Brummett, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 711 S Laclede Sta Rd, # 2111, St Louis, MO 63119 Phone: 314-961-6434 |
James Raymond Probst, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10345 Watson Rd, St Louis, MO 63127 Phone: 314-965-6033 Fax: 314-965-6067 |
Dr. Glennon Joseph Fox, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 777 South New Ballas Rd, 231e, St Louis, MO 63141 Phone: 314-414-2273 Fax: 314-414-2273 |
Felix Emmanuel Herrera, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2901 Union Road, Ste 100, St Louis, MO 63125 Phone: 314-487-5515 Fax: 314-487-7497 |
Dr. Donald E. Schnurpfeil, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5701 Delmar Blvd., St Louis, MO 63112 Phone: 314-367-7848 Fax: 314-367-2985 |