| Dr Matthew A Beckerdite, MD | |
|
2630 State Highway K, Ste 100, Ofallon, MO 63368 | |
| (636) 240-5454 | |
| Not Available |
| Full Name | Dr Matthew A Beckerdite |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 27 Years |
| Location | 2630 State Highway K, Ofallon, 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 |
|---|---|---|---|
| 1821062266 | NPI | - | NPPES |
| 1821062266 | Medicaid | MO | |
| 080185383 | Other | MO | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2000161367 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Missouri Baptist Medical Center | Town and country, MO | Hospital |
| Progress West Hospital | O fallon, MO | Hospital |
| Barnes-jewish St Peters Hospital | Saint peters, MO | Hospital |
| Barnes-jewish West County Hospital | Creve coeur, MO | Hospital |
| Ssm St Joseph Hospital West | Lake saint louis, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Physician Groups Lc | 3072421254 | 522 |
| Entity Name | Physician Groups Lc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285664268 PECOS PAC ID: 3072421254 Enrollment ID: O20040220001157 |
| Entity Name | Mercy Clinic East Communities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851335228 PECOS PAC ID: 7214827922 Enrollment ID: O20070521000006 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Matthew A Beckerdite, MD 2630 State Highway K, Ste 100, Ofallon, MO 63368 Ph: (636) 240-5454 | Dr Matthew A Beckerdite, MD 2630 State Highway K, Ste 100, Ofallon, MO 63368 Ph: (636) 240-5454 |
James Wendell, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2630 State Highway K, Ste 100, Ofallon, MO 63368 Phone: 636-240-5454 Fax: 636-980-5335 |