| Dr Lewis C Halverson, MD | |
|
12266 De Paul Dr Ste 315, Bridgeton, MO 63044-2514 | |
| (314) 739-5858 | |
| Not Available |
| Full Name | Dr Lewis C Halverson |
|---|---|
| Gender | Male |
| Speciality | Interventional Radiology |
| Experience | 40 Years |
| Location | 12266 De Paul Dr Ste 315, Bridgeton, 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 |
|---|---|---|---|
| 1144253410 | NPI | - | NPPES |
| 300102491 | Other | RAILROAD MEDICARE NUMBER | |
| 202775904 | Medicaid | MO | |
| 036078330 | Medicaid | IL | |
| 300102486 | Other | RAILROAD MEDICARE NUMBER |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ssm St Joseph Hospital West | Lake saint louis, MO | Hospital |
| Ssm St Joseph Health Center | Saint charles, MO | Hospital |
| Ssm Depaul Health Center | Bridgeton, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Radiologic Imaging Consultants, Llp | 4587652748 | 16 |
| Ssm Medical Group Inc | 6608776299 | 500 |
| Entity Name | Radiologic Imaging Consultants, Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871689505 PECOS PAC ID: 4587652748 Enrollment ID: O20040505000834 |
| 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 Lewis C Halverson, MD 220 Compass Point Dr, Saint Charles, MO 63301-4405 Ph: (636) 947-4480 | Dr Lewis C Halverson, MD 12266 De Paul Dr Ste 315, Bridgeton, MO 63044-2514 Ph: (314) 739-5858 |
Dr. Clelland James-henry Chatman, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 12303 De Paul Dr, Bridgeton, MO 63044 Phone: 314-770-9393 Fax: 314-770-9997 | |
Thomas P Bocchini, MD Radiology Medicare: Medicare Enrolled Practice Location: 12266 De Paul Dr Ste 305, Bridgeton, MO 63044 Phone: 314-770-0991 | |
Andre Strzembosz, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 12303 De Paul Dr, Depaul Health Center, Bridgeton, MO 63044 Phone: 314-344-6350 | |
Larry Paskar, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 12303 De Paul Dr, Depaul Health Center, Bridgeton, MO 63044 Phone: 314-344-6350 | |
Edwin C Ernst Iii, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 12303 Depaul Dr, Depaul Health Center, Bridgeton, MO 63044 Phone: 314-344-6350 | |
Megan M Gau, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 12303 Depaul Dr, Depaul Health Center, Bridgeton, MO 63044 Phone: 314-344-6000 |