| Dr Lawrence Vincent Boveri, MD | |
|
1011 Bowles Ave, Suite 215, Fenton, MO 63026-2395 | |
| (636) 680-1960 | |
| (636) 680-1964 |
| Full Name | Dr Lawrence Vincent Boveri |
|---|---|
| Gender | Male |
| Speciality | Obstetrics/gynecology |
| Experience | 37 Years |
| Location | 1011 Bowles Ave, 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 |
|---|---|---|---|
| 1003841388 | NPI | - | NPPES |
| 207951500 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | R7P94 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ssm St Clare Health Center | Fenton, MO | Hospital |
| Mercy Hospital South | Saint louis, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| County Obstetrics And Gynecology, Inc | 2769536929 | 2 |
| Entity Name | County Obstetrics & Gynecology, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760668941 PECOS PAC ID: 2769536929 Enrollment ID: O20090821000589 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lawrence Vincent Boveri, MD 1011 Bowles Ave., Suite 215, Fenton, MO 63028-3287 Ph: (636) 680-1960 | Dr Lawrence Vincent Boveri, MD 1011 Bowles Ave, Suite 215, Fenton, MO 63026-2395 Ph: (636) 680-1960 |
Dr. Adriana M Canas-polesel, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1203 Smizer Mill Rd Ste 106, Fenton, MO 63026 Phone: 636-717-1390 Fax: 636-717-1395 | |
Mr. Stephen Angelo Boveri, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1011 Bowles Ave, Suite 215, Fenton, MO 63026 Phone: 636-680-1960 Fax: 636-680-1964 | |
Dr. Amy Christine Eichholz, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1011 Bowles Ave, Suite 215, Fenton, MO 63028 Phone: 636-680-1960 Fax: 636-680-1964 | |
Dr. Vandana Dalton, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 714 Gravois Rd, Fenton, MO 63026 Phone: 636-717-6775 Fax: 636-717-6755 | |
Lauren Marie Rackovan, Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1011 Bowles Ave Ste 215, Fenton, MO 63026 Phone: 636-680-1960 | |
Jessica Miller, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1011 Bowles Ave Ste G10, Fenton, MO 63026 Phone: 314-842-7910 |