| Dr Enrique Peralta, | |
|
11710 Old Ballas Rd, Suite 102, Saint Louis, MO 63141-7076 | |
| (314) 569-2020 | |
| (314) 569-1596 |
| Full Name | Dr Enrique Peralta |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Experience | 39 Years |
| Location | 11710 Old Ballas Rd, Saint Louis, 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 |
|---|---|---|---|
| 1346237534 | NPI | - | NPPES |
| 209310200 | Medicaid | MO | |
| 036112111 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | 2004012770 (Missouri) | Primary |
| 207W00000X | Ophthalmology | 036-112111 (Illinois) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Jfj Eyecare, Ltd | 8224009865 | 14 |
| Jfj Eyecare, Ltd | 8224009865 | 14 |
| Entity Name | Retina Center Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861539694 PECOS PAC ID: 5890758296 Enrollment ID: O20041108000008 |
| Entity Name | St. Louis Eye Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366555690 PECOS PAC ID: 2961559844 Enrollment ID: O20090410000014 |
| Entity Name | Jfj Eyecare, Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376586685 PECOS PAC ID: 8224009865 Enrollment ID: O20111026000149 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Enrique Peralta, 11710 Old Ballas Rd, Suite 102, Saint Louis, MO 63141-7076 Ph: (314) 569-2020 | Dr Enrique Peralta, 11710 Old Ballas Rd, Suite 102, Saint Louis, MO 63141-7076 Ph: (314) 569-2020 |
Dr. Laila G. Gabrawy, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 5471 Dr Martin Luther King Dr, Saint Louis, MO 63112 Phone: 314-367-5820 Fax: 314-367-7010 | |
Dr. Jing-wei Huang, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 4901 Forest Park Ave, Dept Ophthalmology, 6th Fl, Saint Louis, MO 63108 Phone: 314-362-3937 Fax: 314-362-3725 | |
Dr. Jillian Mei-ling Liu, MD PHD Ophthalmology Medicare: Medicare Enrolled Practice Location: 4901 Forest Park Ave, Dept Ophthalmology, 6th Fl, Saint Louis, MO 63108 Phone: 314-362-3937 Fax: 866-505-8818 | |
Dr. Nancy Buchser, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 4921 Parkview Pl Ste 14f, Saint Louis, MO 63110 Phone: 314-361-5003 Fax: 314-361-2686 | |
Dr. Zachary D Seagrave, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 517 S Euclid Ave, Saint Louis, MO 63110 Phone: 314-362-3431 Fax: 314-362-6564 | |
Rajwant Mahal, Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 1 Barnes Jew Hosp Plz, Saint Louis, MO 63110 Phone: 559-978-6740 | |
Dr. Bruce Hagedorn Cohen, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 4921 Parkview Pl, Ste 14f, Saint Louis, MO 63110 Phone: 314-361-5003 Fax: 314-361-2686 |