| Dr Derek Sloan Larson, MD | |
|
456 N New Ballas Rd Ste 348, Creve Coeur, MO 63141-6846 | |
| (314) 548-0265 | |
| Not Available |
| Full Name | Dr Derek Sloan Larson |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 18 Years |
| Location | 456 N New Ballas Rd Ste 348, Creve Coeur, 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 |
|---|---|---|---|
| 1588820096 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RN0300X | Internal Medicine - Nephrology | 036126443 (Illinois) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | 2014016671 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Town And Country West Dialysis | Saint louis, MO | Dialysis facility |
| Crystal City Dialysis Center | Crystal city, MO | Dialysis facility |
| Missouri Baptist Medical Center | Town and country, MO | Hospital |
| Mercy Hospital St Louis | Saint louis, MO | Hospital |
| Ste Genevieve County Memorial Hospital | Sainte genevieve, MO | Hospital |
| Barnes-jewish West County Hospital | Creve coeur, MO | Hospital |
| Parkland Health Center | Farmington, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Louis Kidney Llc | 0143446617 | 10 |
| Entity Name | St Louis Kidney Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730593757 PECOS PAC ID: 0143446617 Enrollment ID: O20140725000340 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Derek Sloan Larson, MD Po Box 78429, Saint Louis, MO 63178-8429 Ph: (314) 548-0265 | Dr Derek Sloan Larson, MD 456 N New Ballas Rd Ste 348, Creve Coeur, MO 63141-6846 Ph: (314) 548-0265 |
Usman Javaid, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 11477 Olde Cabin Rd Ste 102, Creve Coeur, MO 63141 Phone: 314-432-5144 Fax: 314-432-2400 | |
Dr. Michele T Bellamy, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 12680 Olive Blvd Ste 100, Creve Coeur, MO 63141 Phone: 314-251-8900 Fax: 314-251-8901 | |
Dr. Ahmad Hassan Irshad, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 615 S New Ballas Rd, Creve Coeur, MO 63141 Phone: 314-251-6930 | |
Mikael Garri, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 621 S New Ballas Rd, Suite 3016b, Creve Coeur, MO 63141 Phone: 314-251-6339 Fax: 314-251-4564 | |
Bruce Jeffrey Lippmann, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1009 Executive Parkway Dr, Creve Coeur, MO 63141 Phone: 573-267-2318 Fax: 314-293-6811 | |
Dr. Rohan Devanpalli-ramaya, M.D Nephrology Medicare: Accepting Medicare Assignments Practice Location: 456 N New Ballas Rd Ste 348, Creve Coeur, MO 63141 Phone: 314-548-0265 Fax: 314-548-6555 | |
Janet Todorczuk, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 11525 Olde Cabin Rd, Creve Coeur, MO 63141 Phone: 314-997-0554 Fax: 314-997-5086 |