| Dr Daniel Robert Herleth, MD | |
|
1225 Graham Rd Ste C-2320, Florissant, MO 63031-8030 | |
| (314) 953-6801 | |
| Not Available |
| Full Name | Dr Daniel Robert Herleth |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 17 Years |
| Location | 1225 Graham Rd Ste C-2320, 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 |
|---|---|---|---|
| 1235365776 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2011004653 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Christian Hospital Northeast | Saint louis, MO | Hospital |
| Missouri Baptist Medical Center | Town and country, MO | Hospital |
| Barnes-jewish West County Hospital | Creve coeur, MO | Hospital |
| Barnes-jewish St Peters Hospital | Saint peters, MO | Hospital |
| Alton Memorial Hospital | Alton, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Physician Groups Lc | 3072421254 | 455 |
| Entity Name | Physician Groups Lc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285664268 PECOS PAC ID: 3072421254 Enrollment ID: O20040220001157 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Daniel Robert Herleth, MD 1225 Graham Rd Ste C-1350, Florissant, MO 63031-8022 Ph: (314) 953-6690 | Dr Daniel Robert Herleth, MD 1225 Graham Rd Ste C-2320, Florissant, MO 63031-8030 Ph: (314) 953-6801 |
William Stephen Knapp, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2137 Charbonier Rd Ste B, Florissant, MO 63031 Phone: 314-831-0181 Fax: 314-851-4471 | |
Dr. Saima Ahmad, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1025 Dunn Rd, Florissant, MO 63031 Phone: 314-736-1333 Fax: 314-736-1336 | |
Doris J Tribune Brown, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1225 Graham Rd, Suite 2320c, Florissant, MO 63031 Phone: 314-831-6883 Fax: 314-831-3716 | |
Dr. Mel Emiel Lucas, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2175 Charbonier Rd, Florissant, MO 63031 Phone: 314-831-5999 Fax: 314-831-9434 | |
Ms. Bessevelyn M. Tables, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1225 Graham Rd Ste C-1340, Florissant, MO 63031 Phone: 314-953-6801 | |
Dr. Kwabena Owusu Dekyi, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 1225 Graham Rd Ste C-2320, Florissant, MO 63031 Phone: 314-953-6801 Fax: 314-953-6819 |