| Dr Gregorius Resuma Penilla, MD | |
|
1345 Smizer Mill Rd Ste 1100, Fenton, MO 63026-7305 | |
| (636) 496-5040 | |
| Not Available |
| Full Name | Dr Gregorius Resuma Penilla |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 44 Years |
| Location | 1345 Smizer Mill Rd Ste 1100, Fenton, 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 |
|---|---|---|---|
| 1023024973 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 36678 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ssm St Clare Health Center | Fenton, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ssm Medical Group Inc | 6608776299 | 500 |
| Entity Name | Ssm Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700966207 PECOS PAC ID: 6608776299 Enrollment ID: O20040729001034 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gregorius Resuma Penilla, MD Po Box 955534, Saint Louis, MO 63195-5534 Ph: () - | Dr Gregorius Resuma Penilla, MD 1345 Smizer Mill Rd Ste 1100, Fenton, MO 63026-7305 Ph: (636) 496-5040 |
Dr. Jeffrey P Wilson, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1011 Bowles Ave Ste 300, Fenton, MO 63026 Phone: 636-496-5065 | |
Dr. Gloria Yetunde Ojerinde, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1015 Bowles Ave, Fenton, MO 63026 Phone: 636-496-2000 | |
Dr. Aman Kanti Patel, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 1011 Bowles Ave Ste 300, Fenton, MO 63026 Phone: 636-496-5065 | |
Dr. Stephanie Jean Becker-koepke, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1011 Bowles Ave Ste G50, Fenton, MO 63026 Phone: 636-496-4640 | |
Dr. Jeffrey J Hallazgo, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 714 Gravois Rd, Suite 100, Fenton, MO 63026 Phone: 636-326-6100 Fax: 636-326-6110 | |
Dr. Mansoor Ul Haq, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1011 Bowles Ave Ste G50, Fenton, MO 63026 Phone: 636-496-4640 |