| David Hannibal, MD | |
| 
					3009 N Ballas Rd Ste 387c, Saint Louis, MO 63131-2324  | |
| (314) 996-5900 | |
| (314) 996-5910 | 
| Full Name | David Hannibal | 
|---|---|
| Gender | Male | 
| Speciality | Internal Medicine | 
| Location | 3009 N Ballas Rd Ste 387c, Saint 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 | 
|---|---|---|---|
| 1730765561 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207R00000X | Internal Medicine | 2023029719 (Missouri) | Primary | 
| Entity Name | Physician Groups Lc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1285664268 PECOS PAC ID: 3072421254 Enrollment ID: O20040220001157  | 
| Mailing Address | Practice Location Address | 
|---|---|
| David Hannibal, MD 660 Mason Ridge Center Dr Ste 300, Saint Louis, MO 63141-8512 Ph: (314) 448-3791  | David Hannibal, MD 3009 N Ballas Rd Ste 387c, Saint Louis, MO 63131-2324 Ph: (314) 996-5900  | 
Conor Mccartney, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 915 N Grand Blvd, Saint Louis, MO 63106 Phone: 314-652-4100  | |
Dr. Faris Adam Bakeer, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Barnes Jewish Hospital Plz, Div Im Hospitalist, Saint Louis, MO 63110 Phone: 314-362-1700 Fax: 314-362-9878  | |
Dr. Rehan Rais, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1 Barnes Jewish Hospital Plz, Div Im Hospitalist, Saint Louis, MO 63110 Phone: 314-362-1700 Fax: 314-362-9878  | |
Nathan Farkas, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1 Barnes Jew Hosp Plz, Saint Louis, MO 63110 Phone: 314-362-1930  | |
Dr. Randy Olivier Laine, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Barnes Jewish Hospital Plz, Div Im Hospitalist, Saint Louis, MO 63110 Phone: 314-362-1700 Fax: 314-362-9878  | |
Dr. Erin Leigh Dyer, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 4901 Forest Park Ave, Div Im General Med, Ste 241, Saint Louis, MO 63108 Phone: 314-362-5060 Fax: 314-362-6959  | |
Nakul Shah,  Internal Medicine Medicare: Medicare Enrolled Practice Location: 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110 Phone: 314-362-5000  |