| Dr Mauricio Jose Avila Guerra, MD | |
| 1201 S Grand Blvd, Saint Louis, MO 63104-1016 | |
| (314) 617-3420 | |
| (314) 617-3430 | 
| Full Name | Dr Mauricio Jose Avila Guerra | 
|---|---|
| Gender | Male | 
| Speciality | Neurological Surgery | 
| Location | 1201 S Grand Blvd, Saint Louis, Missouri | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1487016390 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207T00000X | Neurological Surgery | 2023009168 (Missouri) | Primary | 
| 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 Mauricio Jose Avila Guerra, MD 1008 S Spring Ave Rm 3100, Saint Louis, MO 63110-2520 Ph: (146) 173-5463 | Dr Mauricio Jose Avila Guerra, MD 1201 S Grand Blvd, Saint Louis, MO 63104-1016 Ph: (314) 617-3420 | 
| Dr. Ralph Gerard Dacey Jr., MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 4921 Parkview Pl, Dept Neurological Surgery, Ste 6b/6c, Saint Louis, MO 63110 Phone: 314-362-3577 Fax: 314-362-2107 | |
| Dr. Kurt M Eichholz, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 4590 S Lindbergh Blvd, Saint Louis, MO 63127 Phone: 314-270-9494 Fax: 314-270-9495 | |
| Dr. Bassam Ar Hadi, M.D Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 10012 Kennerly Rd Ste 400, Saint Louis, MO 63128 Phone: 314-543-5999 | |
| Philippe Joseph Arthur Mercier, M.D., PH.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 1201 S Grand Blvd Dept Of, Saint Louis, MO 63104 Phone: 314-577-8715 Fax: 314-577-8720 | |
| Dr. Paul Santiago, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 4921 Parkview Pl, Dept Neurological Surgery, Ste 6b/6c, Saint Louis, MO 63110 Phone: 314-362-3577 Fax: 314-367-2017 | |
| William Sprich, M.D. Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 1031 Bellevue Ave, Suite 300, Saint Louis, MO 63117 Phone: 314-951-5368 Fax: 314-951-5238 | |
| Dr. Terrence Fletcher Holekamp, M.D., PH.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 621 S New Ballas Rd Ste 297a, Saint Louis, MO 63141 Phone: 314-251-6343 Fax: 314-251-7897 |