| Dr Gregorio A Sicard, MD | |
| 4921 Parkview Pl, Ste 8a, Saint Louis, MO 63110-1032 | |
| (314) 362-7841 | |
| (314) 747-4871 | 
| Full Name | Dr Gregorio A Sicard | 
|---|---|
| Gender | Male | 
| Speciality | Surgery - Vascular Surgery | 
| Location | 4921 Parkview Pl, Saint Louis, Missouri | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1033135264 | NPI | - | NPPES | 
| 0420172085 | Medicaid | IL | |
| 122071 | Medicaid | MS | |
| 022010181 | Medicaid | MO | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2085R0204X | Radiology - Vascular & Interventional Radiology | 35212 (Missouri) | Secondary | 
| 2086S0129X | Surgery - Vascular Surgery | 35212 (Missouri) | Primary | 
| Entity Name | Washington University | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1134169568 PECOS PAC ID: 9830008770 Enrollment ID: O20040317000959 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Gregorio A Sicard, MD 660 S Euclid Ave, C B 8109, Saint Louis, MO 63110-1010 Ph: (314) 362-7841 | Dr Gregorio A Sicard, MD 4921 Parkview Pl, Ste 8a, Saint Louis, MO 63110-1032 Ph: (314) 362-7841 | 
| Dr. Matthew Russell Smeds, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1225 S Grand Blvd, Saint Louis, MO 63104 Phone: 314-977-4730 Fax: 314-977-1642 | |
| Dr. William C Chapman Jr., MD Surgery Medicare: Medicare Enrolled Practice Location: 1044 N Mason Rd, Div Surg Colon/rectal, Ste 310, Saint Louis, MO 63141 Phone: 314-454-7177 Fax: 888-425-7946 | |
| Dr. Bradley Seth Kushner, MD Surgery Medicare: Medicare Enrolled Practice Location: 1 Barnes Jewish Hospital Plz, Div Surg Vascular, Saint Louis, MO 63110 Phone: 314-273-7373 Fax: 888-840-6225 | |
| Eddy C Hsueh, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3655 Vista Ave, Saint Louis, MO 63110 Phone: 314-977-4440 Fax: 314-977-1630 | |
| Dr. Jay M Snow, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 10296 Big Bend Rd Ste 206, Saint Louis, MO 63122 Phone: 314-366-4874 Fax: 314-366-4875 | |
| Dr. Lj Punch, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 5501 Delmar Blvd Ste A430, Saint Louis, MO 63112 Phone: 314-624-0398 | |
| Dr. David Caplin, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 845 N New Ballas Ct, Suite 300, Saint Louis, MO 63141 Phone: 314-569-0130 Fax: 314-569-3674 |