| Dr Michael J Carney, MD | |
|
16555 Manchester Rd, Suite 201, Wildwood, MO 63040-1220 | |
| (636) 458-0040 | |
| Not Available |
| Full Name | Dr Michael J Carney |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 16555 Manchester Rd, Wildwood, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164496725 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 106048 (Missouri) | Primary |
| 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 Michael J Carney, MD 16555 Manchester Rd, Suite 201, Wildwood, MO 63040-1220 Ph: (636) 458-5858 | Dr Michael J Carney, MD 16555 Manchester Rd, Suite 201, Wildwood, MO 63040-1220 Ph: (636) 458-0040 |
Christie A Bayer, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 16555 Manchester Rd, Wildwood, MO 63040 Phone: 636-458-0040 | |
Dr. Kent L Killian, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 16555 Manchester Rd, Suite 201, Wildwood, MO 63040 Phone: 636-458-5858 | |
Dr. Caroline Grace Nugent, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 16555 Manchester Rd Ste 201, Wildwood, MO 63040 Phone: 636-458-5858 Fax: 636-458-6510 |