| Dan William Luedke, MD | |
| 1475 Kisker Rd, Suite 180, St Charles, MO 63304 | |
| (636) 442-7300 | |
| (636) 442-7398 | 
| Full Name | Dan William Luedke | 
|---|---|
| Gender | Male | 
| Speciality | Internal Medicine - Hematology & Oncology | 
| Location | 1475 Kisker Rd, St Charles, Missouri | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1669435244 | NPI | - | NPPES | 
| 117860 | Other | HEALTHLINK | |
| 21630 | Other | MO | BCBS | 
| 830001889 | Other | RR MEDICARE | |
| 202356127 | Medicaid | MO | |
| 4037806 | Other | AETNA | |
| 3600031 | Other | UHC | |
| 43616 | Other | GHP | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207RH0003X | Internal Medicine - Hematology & Oncology | D8330 (Texas) | Secondary | 
| 207RH0003X | Internal Medicine - Hematology & Oncology | R8512 (Missouri) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dan William Luedke, MD 500 Medical Drive, Wentzville, MO 63385 Ph: (636) 327-1202 | Dan William Luedke, MD 1475 Kisker Rd, Suite 180, St Charles, MO 63304 Ph: (636) 442-7300 | 
| Miss Siriwat Payow, MD Hematology & Oncology Medicare: Not Enrolled in Medicare Practice Location: 4215 Old Hwy 94 S, St Charles, MO 63304 Phone: 636-441-6182 Fax: 636-441-6928 |