| Dr John A Myers, MD | |
|
20 Progress Point Pkwy, Ste 220, O Fallon, MO 63368-2206 | |
| (636) 344-3333 | |
| (636) 344-3334 |
| Full Name | Dr John A Myers |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 20 Progress Point Pkwy, O Fallon, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275508590 | NPI | - | NPPES |
| 200026271 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 112791 (Missouri) | Primary |
| Entity Name | Wuca-o'fallon Pediatrics LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366830572 PECOS PAC ID: 0941512453 Enrollment ID: O20150710001960 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John A Myers, MD Po Box 7412027, Chicago, IL 60674-2027 Ph: (636) 344-3333 | Dr John A Myers, MD 20 Progress Point Pkwy, Ste 220, O Fallon, MO 63368-2206 Ph: (636) 344-3333 |
Dr. Cecilia H Yu, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 20 Progress Point Pkwy, Ste 220, O Fallon, MO 63368 Phone: 636-344-3333 Fax: 636-344-3334 |
Kimberly N Hackney, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Winding Woods Dr Ste 120, O Fallon, MO 63366 Phone: 636-978-7902 |
Jasmine Kaur, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 300 Winding Woods Dr Ste 120, O Fallon, MO 63366 Phone: 636-978-7902 |
Dr. Yasangi Marina Jayasinha, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1001 Highway K, Suite 4, O Fallon, MO 63366 Phone: 636-240-9896 |
Dr. Trina J Blythe, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 20 Progress Point Pkwy Ste 100, O Fallon, MO 63368 Phone: 636-344-2213 |
Dr. Phillip D Reichert, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 20 Progress Point Pkwy, Ste 220, O Fallon, MO 63368 Phone: 636-344-3333 Fax: 636-344-3334 |
Melissa Roewe, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 9979 Winghaven Blvd Ste 206, O Fallon, MO 63368 Phone: 636-561-5291 Fax: 636-561-5290 |