| Dr Jason Kort Woody Sr, DO | |
|
3721 S Grand Blvd, Saint Louis, MO 63118-3405 | |
| (314) 328-0144 | |
| (314) 788-3021 |
| Full Name | Dr Jason Kort Woody Sr |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 5 Years |
| Location | 3721 S Grand Blvd, 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 |
|---|---|---|---|
| 1295304103 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2024028667 (Missouri) | Primary |
| 207Q00000X | Family Medicine | 2021024168 (Missouri) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Missouri Baptist Medical Center | Town and country, MO | Hospital |
| Barnes Jewish Hospital | Saint louis, MO | Hospital |
| Mercy Hospital Jefferson | Festus, MO | Hospital |
| Parkland Health Center | Farmington, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Physician Groups Lc | 3072421254 | 455 |
| Entity Name | Physician Groups Lc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285664268 PECOS PAC ID: 3072421254 Enrollment ID: O20040220001157 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jason Kort Woody Sr, DO 1395 Nw 167th St, Miami Gardens, FL 33169-5710 Ph: (305) 628-6117 | Dr Jason Kort Woody Sr, DO 3721 S Grand Blvd, Saint Louis, MO 63118-3405 Ph: (314) 328-0144 |
Alexander Keenan Holbrook, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 2345 Dougherty Ferry Rd, Saint Louis, MO 63122 Phone: 314-966-9100 | |
Mrs. Jetuan L Rowley-herron, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 5471 Dr Martin Luther King Dr, Saint Louis, MO 63112 Phone: 314-367-5820 Fax: 314-367-7010 | |
Christopher Brian Espana, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5034 Griffin Rd, Saint Louis, MO 63128 Phone: 314-843-7333 Fax: 314-843-9946 | |
Dr. Sumera Younus, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3009 N Ballas Rd Ste 387c, Saint Louis, MO 63131 Phone: 314-996-5900 | |
Dr. Tanner William Boes, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11700 Studt Ave, Saint Louis, MO 63141 Phone: 314-989-1181 Fax: 314-989-1441 | |
Mrs. Teresita Agustin Cometa, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5471 Dr Martin Luther King Dr, Saint Louis, MO 63112 Phone: 314-367-5820 Fax: 314-367-6326 | |
Dr. Michael T Railey, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6125 Clayton Ave, Ste 222, Saint Louis, MO 63139 Phone: 314-768-3685 Fax: 314-768-3940 |