Dr Glen E Johnson, MD | |
675 Old Ballas Rd Ste 100, Creve Coeur, MO 63141-7083 | |
(314) 733-9009 | |
Not Available |
Full Name | Dr Glen E Johnson |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 39 Years |
Location | 675 Old Ballas Rd Ste 100, 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 |
---|---|---|---|
1942224258 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | R4H56 (Missouri) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mb Professional Billing Services, Llc | 6406109792 | 13 |
Rehabilitation Professionals Inc | 8224923800 | 169 |
Entity Name | Mb Professional Billing Services, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174663900 PECOS PAC ID: 6406109792 Enrollment ID: O20181102002650 |
Mailing Address | Practice Location Address |
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Dr Glen E Johnson, MD 675 Old Ballas Rd Ste 100, Creve Coeur, MO 63141-7083 Ph: (314) 733-9009 | Dr Glen E Johnson, MD 675 Old Ballas Rd Ste 100, Creve Coeur, MO 63141-7083 Ph: (314) 733-9009 |
Jason A. Browdy, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 633 Emerson Rd Ste 100, Creve Coeur, MO 63141 Phone: 314-991-2150 Fax: 314-991-2149 | |
Mr. Mitchell Tarka, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 633 Emerson Rd Ste 100, Creve Coeur, MO 63141 Phone: 314-991-2013 | |
Dr. James P Emanuel, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 845 N New Ballas Ct, Ste 130, Creve Coeur, MO 63141 Phone: 314-997-1777 Fax: 317-997-6277 | |
Dr. David Jonathan King, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 633 Emerson Rd, Suite 100, Creve Coeur, MO 63141 Phone: 314-991-2113 Fax: 314-991-2115 | |
Matthew Jude Steffes, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 633 Emerson Rd Ste 20, Creve Coeur, MO 63141 Phone: 314-325-3068 | |
Dr. William Chris Kostman, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 10448 Old Olive St Rd, Ste 200, Creve Coeur, MO 63141 Phone: 314-597-8887 Fax: 314-447-9559 |