Daniel G Tinker, MD | |
12200 Weber Hill Rd, St Louis, MO 63127 | |
() - | |
Not Available |
Full Name | Daniel G Tinker |
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Gender | Male |
Speciality | Dermatology |
Location | 12200 Weber Hill 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 |
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1417449869 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207N00000X | Dermatology | 2023049006 (Missouri) | Primary |
Entity Name | Deluxe Dermatology Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922605906 PECOS PAC ID: 1850702010 Enrollment ID: O20201119003292 |
Mailing Address | Practice Location Address |
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Daniel G Tinker, MD 12200 Weber Hill Rd Ste 200, Saint Louis, MO 63127-1569 Ph: () - | Daniel G Tinker, MD 12200 Weber Hill Rd, St Louis, MO 63127 Ph: () - |
Lester Thomas Reese, MD Dermatology Medicare: Medicare Enrolled Practice Location: 522 North New Ballas Road, Suite 316, St Louis, MO 63141 Phone: 314-567-5873 Fax: 314-567-4040 | |
Madhavi Kandula, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 845 North New Ballas Court, Suite 310, St Louis, MO 63141 Phone: 314-692-0221 Fax: 314-692-0686 | |
Natalie L Semchyshyn, Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1755 S Grand, St Louis, MO 63104 Phone: 314-256-3400 | |
Joseph Duvall, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1755 S Grand, St Louis, MO 63104 Phone: 314-256-3433 Fax: 214-256-3431 | |
Stacy Beaty, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1755 S Grand, St Louis, MO 63104 Phone: 314-256-3433 Fax: 314-256-3431 | |
Ms. Madeliene Elaine Gainers, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 660 S. Euclid Avenue, Washington Univ Med Ctr/div Of Dermatology, St Louis, MO 63110 Phone: 314-454-8622 Fax: 314-454-5928 |