| Dr Kyle J Eash, MD PHD | |
|
1603 Wentzville Pkwy Ste 123, Wentzville, MO 63385-3826 | |
| (636) 695-0300 | |
| (636) 695-0301 |
| Full Name | Dr Kyle J Eash |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 15 Years |
| Location | 1603 Wentzville Pkwy Ste 123, Wentzville, 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 |
|---|---|---|---|
| 1790072395 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 2015018653 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ssm St Joseph Health Center | Saint charles, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ssm Health Care Group | 0143608372 | 802 |
| Entity Name | Ssm Health Care Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306589544 PECOS PAC ID: 0143608372 Enrollment ID: O20220531002655 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kyle J Eash, MD PHD 1008 S Spring Ave Fl 3, Saint Louis, MO 63110-2520 Ph: (314) 617-3339 | Dr Kyle J Eash, MD PHD 1603 Wentzville Pkwy Ste 123, Wentzville, MO 63385-3826 Ph: (636) 695-0300 |
Brenley Deters, PA-C Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1060 Meyer Rd, Wentzville, MO 63385 Phone: 314-230-1500 | |
Jaeyoung Yoon, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1060 Meyer Rd, Wentzville, MO 63385 Phone: 314-230-1500 Fax: 314-230-1122 | |
Dr. Lindsey Graviett, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1060 Meyer Rd, Wentzville, MO 63385 Phone: 314-230-1500 Fax: 314-230-1122 | |
Dr. Omar W Jassim, MD, PHD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1060 Meyer Rd, Wentzville, MO 63385 Phone: 314-230-1500 Fax: 314-230-1122 | |
Stacy Gittel Blum, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1060 Meyer Rd, Wentzville, MO 63385 Phone: 314-230-1500 Fax: 314-230-1122 |