| Dr Dale M Henselmeier, MD | |
|
12255 De Paul Dr, Suite 600, Bridgeton, MO 63044-2510 | |
| (314) 291-1074 | |
| (314) 290-0802 |
| Full Name | Dr Dale M Henselmeier |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 49 Years |
| Location | 12255 De Paul Dr, Bridgeton, 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 |
|---|---|---|---|
| 1699748756 | NPI | - | NPPES |
| P00075900 | Other | MO | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | R8831 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ssm Depaul Health Center | Bridgeton, MO | Hospital |
| Ssm St Joseph Hospital West | Lake saint louis, MO | Hospital |
| Mercy Hospital St Louis | Saint louis, MO | Hospital |
| Ssm St Joseph Health Center | Saint charles, MO | Hospital |
| St Lukes Hospital | Chesterfield, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aging Well Health Care, Llc | 1153232038 | 189 |
| Ssm Medical Group Inc | 6608776299 | 500 |
| Entity Name | Ssm Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700966207 PECOS PAC ID: 6608776299 Enrollment ID: O20040729001034 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Dale M Henselmeier, MD Po Box 955534, Saint Louis, MO 63195-2510 Ph: () - | Dr Dale M Henselmeier, MD 12255 De Paul Dr, Suite 600, Bridgeton, MO 63044-2510 Ph: (314) 291-1074 |
Jessica Wild, FNP Family Medicine Medicare: Medicare Enrolled Practice Location: 12303 Depaul Drive, Bridgeton, MO 63044 Phone: 314-344-6080 | |
Valerie O Walker, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 3444 Mckelvey Rd, Bridgeton, MO 63044 Phone: 314-968-0700 | |
Allison Haungs, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 12255 De Paul Dr Ste 600, Bridgeton, MO 63044 Phone: 314-209-5100 | |
Dr. Kent A Campbell, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 12255 De Paul Dr, Suite 200, Bridgeton, MO 63044 Phone: 314-344-7600 Fax: 314-344-7850 | |
Dr. Nicholas A Powers, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 12255 Depaul Dr., Suite 600, Bridgeton, MO 63044 Phone: 314-291-1074 | |
Andrea Baxter, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 12266 De Paul Dr Ste 310, Bridgeton, MO 63044 Phone: 314-344-6900 Fax: 314-645-0158 | |
Dr. Adrianna Kelmendi, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 12303 De Paul Dr, Bridgeton, MO 63044 Phone: 314-344-6000 |