| Charles Gonzales, MD | |
|
12380 De Paul Dr, Bridgeton, MO 63044-2511 | |
| (877) 749-7428 | |
| (512) 628-3314 |
| Full Name | Charles Gonzales |
|---|---|
| Gender | Male |
| Speciality | Physical Medicine And Rehabilitation |
| Experience | 12 Years |
| Location | 12380 De Paul 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 |
|---|---|---|---|
| 1508276692 | NPI | - | NPPES |
| 200057629 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 2018015039 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ssm Depaul Health Center | Bridgeton, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Post-acute Physicians Of Missouri, Pc | 6002121126 | 12 |
| Entity Name | Post-acute Physicians Of Missouri, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164818290 PECOS PAC ID: 6002121126 Enrollment ID: O20150819007678 |
| Mailing Address | Practice Location Address |
|---|---|
| Charles Gonzales, MD 1776 Woodstead Ct, Ste 208, The Woodlands, TX 77380-1480 Ph: (563) 359-6786 | Charles Gonzales, MD 12380 De Paul Dr, Bridgeton, MO 63044-2511 Ph: (877) 749-7428 |
Syed A Abdul Khader, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 12255 De Paul Dr Ste 120, Bridgeton, MO 63044 Phone: 314-291-7900 | |
Christopher William Jones, Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 12115 Bridgeton Sq, Bridgeton, MO 63044 Phone: 314-291-8380 Fax: 314-291-7356 | |
Nikita Wagle, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 12380 De Paul Dr, Bridgeton, MO 63044 Phone: 314-447-9700 |