| David S Lickerman, MD | |
|
232 S Woods Mill Road, Chesterfield, MO 63017-3417 | |
| (314) 205-6990 | |
| Not Available |
| Full Name | David S Lickerman |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 232 S Woods Mill Road, Chesterfield, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205869732 | NPI | - | NPPES |
| 1205869732 | Medicaid | MO | |
| 201165511 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | R9812 (Missouri) | Primary |
| Entity Name | Southeastern Emergency Physicians Of Memphis Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437105277 PECOS PAC ID: 5395643209 Enrollment ID: O20060711000434 |
| Entity Name | Cep America Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619332046 PECOS PAC ID: 6608056171 Enrollment ID: O20150312000325 |
| Mailing Address | Practice Location Address |
|---|---|
| David S Lickerman, MD 232 S Woods Mill Road, Chesterfield, MO 63017-3417 Ph: (314) 205-6990 | David S Lickerman, MD 232 S Woods Mill Road, Chesterfield, MO 63017-3417 Ph: (314) 205-6990 |
Dr. Michael J Meinzen, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 232 S Woods Mill Rd, Chesterfield, MO 63017 Phone: 314-205-6990 Fax: 314-205-6073 | |
Dr. Michael J Klevens, M.D. Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 1722 Clarkson Rd, Chesterfield, MO 63017 Phone: 636-206-2665 Fax: 636-206-2664 | |
Dr. Gary P Lessmann, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 201 W Manor Dr, Chesterfield, MO 63017 Phone: 314-576-7357 | |
Dr. Abdul Moheet, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 232 S Woods Mill Rd, Chesterfield, MO 63017 Phone: 314-205-6990 Fax: 314-205-6073 | |
Brittany N Chrisman, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1722 Clarkson Rd, Chesterfield, MO 63017 Phone: 636-206-2665 Fax: 636-206-2664 | |
Milton Sallis, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 378 Dinsmoor Dr, Chesterfield, Chesterfield, MO 63017 Phone: 314-583-9142 | |
Dr. David M Crane, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 13353 Olive Blvd, Chesterfield, MO 63017 Phone: 636-778-2900 Fax: 636-778-2828 |