| Dr Baolin Fan, MD | |
|
2331 Hampton Avenue, St Louis, MO 63139-2908 | |
| (314) 772-1441 | |
| (314) 772-0600 |
| Full Name | Dr Baolin Fan |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 43 Years |
| Location | 2331 Hampton Avenue, 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 |
|---|---|---|---|
| 1568568897 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 110986 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Heritage Care Center | Saint louis, MO | Nursing home |
| Bernard Care Center | Saint louis, MO | Nursing home |
| Dutchtown Care Center | Saint louis, MO | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Abbott And Associates, Inc. | 4082716659 | 2 |
| Entity Name | Abbott And Associates, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851406474 PECOS PAC ID: 4082716659 Enrollment ID: O20070508000332 |
| Entity Name | F & G Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164628186 PECOS PAC ID: 4688769904 Enrollment ID: O20071002000453 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Baolin Fan, MD 2331 Hampton Avenue, St Louis, MO 63139-2908 Ph: (314) 772-1441 | Dr Baolin Fan, MD 2331 Hampton Avenue, St Louis, MO 63139-2908 Ph: (314) 772-1441 |
Chantri Trinh, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3660 Vista, St Louis, MO 63110 Phone: 314-977-8462 Fax: 314-771-8575 | |
Patrick H Durbin, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 6901 Chippewa St, St Louis, MO 63109 Phone: 314-644-7000 Fax: 314-644-7101 | |
Syed H Tariq, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3660 Vista, St Louis, MO 63110 Phone: 314-977-8462 Fax: 314-771-8575 | |
Donald J Kennedy, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 3660 Vista, St Louis, MO 63110 Phone: 314-577-8648 Fax: 314-771-3816 | |
Naga Neelima Nallapaneni, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4414 North Florissant, St Louis, MO 63107 Phone: 314-898-1700 Fax: 314-814-8542 | |
Dr. Jennifer A Delaney, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 11709 Old Ballas Rd, St Louis, MO 63141 Phone: 314-993-1200 Fax: 314-993-1240 | |
Mr. Basanta Subedi, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6420 Clayton Road, St Louis, MO 63117 Phone: 314-768-8000 |