| Dennis C Luetkemeyer, MD | |
|
1705 Christy Dr, Suite #104, Jefferson City, MO 65101-5195 | |
| (573) 659-5580 | |
| (573) 659-5585 |
| Full Name | Dennis C Luetkemeyer |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 31 Years |
| Location | 1705 Christy Dr, Jefferson City, 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 |
|---|---|---|---|
| 1649378597 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 108356 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ssm Health St Mary's Hospital Jefferson City | Jefferson city, MO | Hospital |
| Ssm Depaul Health Center | Bridgeton, MO | Hospital |
| University Of Missouri Health Care | Columbia, MO | Hospital |
| Ssm St Clare Health Center | Fenton, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ernst Radiology Clinic, Inc | 2961488366 | 17 |
| Entity Name | Ernst Radiology Clinic, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629000971 PECOS PAC ID: 2961488366 Enrollment ID: O20040626000181 |
| Entity Name | Capital Region Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477980837 PECOS PAC ID: 4688573686 Enrollment ID: O20070323000507 |
| Entity Name | Ernst Radiology Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699425462 PECOS PAC ID: 2264829639 Enrollment ID: O20220602002306 |
| Mailing Address | Practice Location Address |
|---|---|
| Dennis C Luetkemeyer, MD 1705 Christy Dr, Suite #104, Jefferson City, MO 65101-5195 Ph: (573) 659-5580 | Dennis C Luetkemeyer, MD 1705 Christy Dr, Suite #104, Jefferson City, MO 65101-5195 Ph: (573) 659-5580 |
Dr. E. Dwain Roberts, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1241 W Stadium Blvd, Jefferson City, MO 65109 Phone: 573-556-7755 Fax: 573-761-3599 | |
Dr. Bonnie R Smith, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1241 W Stadium Blvd, Jefferson City, MO 65109 Phone: 573-556-7755 Fax: 573-761-3599 | |
Donald K Mcnutt, D.O. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2713 Industrial Dr, Suite C, Jefferson City, MO 65109 Phone: 573-634-7884 Fax: 573-634-3146 | |
Dr. Jeffrey P. Patrick, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1241 W Stadium Blvd, Jefferson City, MO 65109 Phone: 573-556-7755 Fax: 573-761-3599 | |
Denzil J. Hawes-davis, D.O. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1125 Madison St, Jefferson City, MO 65101 Phone: 573-635-7141 Fax: 573-634-3146 | |
Dr. Steven C. Harper, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1241 W Stadium Blvd, Jefferson City, MO 65109 Phone: 573-556-7755 Fax: 573-761-3599 | |
Mitchell Teruichi Godbee, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1125 Madison St, Jefferson City, MO 65101 Phone: 573-632-5265 Fax: 573-632-5948 |