| Dr Grant Nicholas Bleeker, MD | |
|
3015 N Ballas Rd, St Louis, MO 63131 | |
| (314) 996-5000 | |
| Not Available |
| Full Name | Dr Grant Nicholas Bleeker |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 15 Years |
| Location | 3015 N Ballas Rd, St 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 |
|---|---|---|---|
| 1063739894 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | APPLICATION ACTIVE (Iowa) | Secondary |
| 207L00000X | Anesthesiology | 2014005675 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Missouri Baptist Medical Center | Town and country, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Missouri Baptist Medical Center | 3476461955 | 114 |
| Entity Name | Ballas Anesthesia Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306894241 PECOS PAC ID: 5092615310 Enrollment ID: O20040415001276 |
| Entity Name | Missouri Baptist Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609658905 PECOS PAC ID: 3476461955 Enrollment ID: O20240111001744 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Grant Nicholas Bleeker, MD 3015 N Ballas Rd, St Louis, MO 63131 Ph: (314) 996-5000 | Dr Grant Nicholas Bleeker, MD 3015 N Ballas Rd, St Louis, MO 63131 Ph: (314) 996-5000 |
Mary Hanna, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 660 South Euclid Avenue, St Louis, MO 63110 Phone: 613-795-4184 | |
Hui Yuan, MD Anesthesiology Medicare: May Accept Medicare Assignments Practice Location: 3635 Vista, St Louis, MO 63110 Phone: 314-577-8750 Fax: 314-268-5102 | |
Jeffrey Owen Bray, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 6420 Clayton Road, St Louis, MO 63117 Phone: 314-768-8442 Fax: 314-768-8442 | |
Kumiko Shimoda, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 6420 Clayton Road, St Louis, MO 63117 Phone: 314-768-8442 Fax: 314-768-8442 | |
Dr. Tatyana R Demidovich, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3635 Vista Ave Fdt3, St Louis University, St Louis, MO 63110 Phone: 314-577-8750 | |
Kevin M Oconnor, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 6420 Clayton Road, St Louis, MO 63117 Phone: 314-768-8442 Fax: 314-768-8442 |