| David L Pohl, MD | |
|
100 Medical Plz, Lake St Louis, MO 63367-1366 | |
| (636) 625-5303 | |
| Not Available |
| Full Name | David L Pohl |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 41 Years |
| Location | 100 Medical Plz, Lake St Louis, 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 |
|---|---|---|---|
| 1417978990 | NPI | - | NPPES |
| P00064080 | Other | MO | RAILROAD MEDICARE |
| P00058865 | Other | MO | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | R5G21 (Missouri) | Primary |
| 2085R0202X | Radiology - Diagnostic Radiology | (Illinois) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ssm Health St Joseph Hospital-lake Saint Louis | Lake saint louis, MO | Hospital |
| Ssm Health St Joseph Hospital-st Charles | Saint charles, MO | Hospital |
| Ssm Health Depaul Hospital St Louis | Bridgeton, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Radiologic Imaging Consultants Llp | 4587652748 | 16 |
| Ssm Medical Group Inc | 6608776299 | 565 |
| Entity Name | Radiologic Imaging Consultants LLP |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871689505 PECOS PAC ID: 4587652748 Enrollment ID: O20040505000834 |
| Entity Name | SSM Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700966207 PECOS PAC ID: 6608776299 Enrollment ID: O20040729001034 |
| Mailing Address | Practice Location Address |
|---|---|
| David L Pohl, MD 220 Compass Point Dr, Saint Charles, MO 63301-4405 Ph: (636) 947-4480 | David L Pohl, MD 100 Medical Plz, Lake St Louis, MO 63367-1366 Ph: (636) 625-5303 |
Aurora Gonzalez, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 100 Medical Plaza, Lake St Louis, MO 63367 Phone: 636-625-5303 Fax: 636-625-5403 |
Yu Chen, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 400 Medical Plz Ste 100, Lake St Louis, MO 63367 Phone: 636-638-8600 |
Edward Cohen, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 100 Medical Plz, Lake St Louis, MO 63367 Phone: 636-625-5303 |
John Morris Bedwinek, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 400 Medical Plz Ste 100, Lake St Louis, MO 63367 Phone: 636-695-2316 Fax: 636-639-8676 |