| Dr Cyrene D Grothaus-day, MD | |
|
1378 Mosswoods Dr, Fenton, MO 63026-7226 | |
| (636) 861-1676 | |
| Not Available |
| Full Name | Dr Cyrene D Grothaus-day |
|---|---|
| Gender | Female |
| Speciality | Anesthesiology - Pediatric Anesthesiology |
| Location | 1378 Mosswoods Dr, Fenton, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407872625 | NPI | - | NPPES |
| 204893622 | Medicaid | MO | |
| 036126419 | Medicaid | IL | |
| 336 | Other | MO-BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207LP3000X | Anesthesiology - Pediatric Anesthesiology | 2003019558 (Missouri) | Primary |
| 207LP3000X | Anesthesiology - Pediatric Anesthesiology | 036-126419 (Illinois) | Secondary |
| Entity Name | Resource Anesthesiology Associates Of Mo Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396116521 PECOS PAC ID: 0042514150 Enrollment ID: O20160210002213 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Cyrene D Grothaus-day, MD 335 Davis Dr, Holts Summit, MO 65043-2135 Ph: (561) 320-2958 | Dr Cyrene D Grothaus-day, MD 1378 Mosswoods Dr, Fenton, MO 63026-7226 Ph: (636) 861-1676 |
Dr. Michael Scott Boedefeld, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1055 Bowles Ave Ste 202, Fenton, MO 63026 Phone: 636-386-7222 Fax: 636-386-7810 | |
Stacey A Mormol, CRNA Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1015 Bowles Ave, Fenton, MO 63026 Phone: 636-496-2000 | |
Marlayna F Schaffer, CRNA Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1015 Bowles Ave, Fenton, MO 63026 Phone: 636-496-2000 |