| Dr Mark Edward Halstead, MD | |
|
14532 S Outer 40 Rd, Dept Orthopaedic Surgery, Ste 200, Chesterfield, MO 63017-5705 | |
| (314) 514-3500 | |
| (314) 878-7678 |
| Full Name | Dr Mark Edward Halstead |
|---|---|
| Gender | Male |
| Speciality | Sports Medicine |
| Experience | 27 Years |
| Location | 14532 S Outer 40 Rd, Chesterfield, 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 |
|---|---|---|---|
| 1598783227 | NPI | - | NPPES |
| 209144609 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080S0010X | Pediatrics - Sports Medicine | 2004011774 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Barnes-jewish St Peters Hospital | Saint peters, MO | Hospital |
| Progress West Hospital | O fallon, MO | Hospital |
| Barnes Jewish Hospital | Saint louis, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Washington University | 9830008770 | 2782 |
| Entity Name | Washington University |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679516033 PECOS PAC ID: 9830008770 Enrollment ID: O20040420000704 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mark Edward Halstead, MD Po Box 7412011, Chicago, IL 60674-2011 Ph: (314) 514-3500 | Dr Mark Edward Halstead, MD 14532 S Outer 40 Rd, Dept Orthopaedic Surgery, Ste 200, Chesterfield, MO 63017-5705 Ph: (314) 514-3500 |
Dr. John Laurance Hoerr, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 226 S Woods Mill Rd Ste 32w, Chesterfield, MO 63017 Phone: 314-576-1616 | |
Dr. Katherine L Komendowski, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 226 S Woods Mill Rd, Ste 36w, Chesterfield, MO 63017 Phone: 314-453-9666 Fax: 314-453-9895 | |
Mohamad Al-hosni, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 14443 White Birch Valley Ln, Chesterfield, MO 63017 Phone: 314-629-5671 | |
Dr. Robert James Profumo, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1308 Westchester Manor Ln, Chesterfield, MO 63005 Phone: 314-432-9270 Fax: 314-432-9271 | |
Thomas Mckinney, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 226 S Woods Mill Rd Ste 32w, Chesterfield, MO 63017 Phone: 314-576-1616 Fax: 314-576-5271 | |
Bien Zhang, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 232 S Woods Mill Rd, Chesterfield, MO 63017 Phone: 314-542-4897 | |
Dr. Janet G Mueller, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 13001 N Outer 40 Rd, Ste 340, Chesterfield, MO 63017 Phone: 314-454-6444 Fax: 314-454-6445 |