| Dr Clayton Greer Scanlon, MD | |
|
1224 Graham Rd, 3011, Florissant, MO 63031-8028 | |
| (314) 839-1211 | |
| (314) 893-8429 |
| Full Name | Dr Clayton Greer Scanlon |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Experience | 17 Years |
| Location | 1224 Graham Rd, Florissant, 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 |
|---|---|---|---|
| 1073778460 | NPI | - | NPPES |
| 1529171 | Medicaid | TN | |
| 09488897 | Medicaid | MS | |
| 194545001 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207WX0107X | Ophthalmology - Retina Specialist | 2014015320 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Christian Hospital Northeast | Saint louis, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Retina Associates Of St Louis, Inc | 3577522101 | 4 |
| Eye Physicians Of Saint Louis Inc | 3870584428 | 4 |
| Entity Name | Eye Physicians Of Saint Louis |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225096928 PECOS PAC ID: 3870584428 Enrollment ID: O20040521000439 |
| Entity Name | Retina Associates Of St Louis, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750581666 PECOS PAC ID: 3577522101 Enrollment ID: O20041008000000 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Clayton Greer Scanlon, MD 1224 Graham Rd, 3011, Florissant, MO 63031-8028 Ph: (314) 839-1211 | Dr Clayton Greer Scanlon, MD 1224 Graham Rd, 3011, Florissant, MO 63031-8028 Ph: (314) 839-1211 |
Blonie Wayne Dudney Jr., MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1224 Graham Rd, 3011, Florissant, MO 63031 Phone: 314-839-1211 Fax: 314-839-8429 | |
Julie Marie Sturm, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 900 N Hwy 67, Florissant, MO 63031 Phone: 314-838-0300 Fax: 314-838-4682 | |
John Paul Goltschman, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 900 N Hwy 67, Florissant, MO 63031 Phone: 314-838-0300 Fax: 314-838-4682 | |
Carla Territo, Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1224 Graham Rd, Suite 3011, Florissant, MO 63031 Phone: 314-839-1211 | |
David A. Glaser, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1224 Graham Rd, Suite 3011, Florissant, MO 63031 Phone: 314-839-1211 | |
Stephen E Kraft, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 1150 Graham Rd, Ste 107, Florissant, MO 63031 Phone: 314-837-3667 Fax: 314-837-3728 |