| Dr Stephanie L Sandberg, DO | |
|
20 Progress Point Pkwy, Suite 206, O Fallon, MO 63368-2206 | |
| (636) 344-1073 | |
| (636) 344-1075 |
| Full Name | Dr Stephanie L Sandberg |
|---|---|
| Gender | Female |
| Speciality | General Surgery |
| Experience | 24 Years |
| Location | 20 Progress Point Pkwy, O Fallon, Missouri |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649273160 | NPI | - | NPPES |
| 208778902 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 2004012744 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Progress West Hospital | O fallon, MO | Hospital |
| Missouri Baptist Medical Center | Town and country, MO | Hospital |
| Barnes-jewish St Peters Hospital | Saint peters, MO | Hospital |
| Ssm St Joseph Health Center | Saint charles, MO | Hospital |
| Barnes-jewish West County Hospital | Creve coeur, 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Stephanie L Sandberg, DO 670 Mason Ridge Center Dr, Ste 300, Saint Louis, MO 63141-8573 Ph: (636) 344-1073 | Dr Stephanie L Sandberg, DO 20 Progress Point Pkwy, Suite 206, O Fallon, MO 63368-2206 Ph: (636) 344-1073 |
Mrs. Patricia Ann Holschen, Surgery Medicare: Not Enrolled in Medicare Practice Location: 832 Brockwell Dr, O Fallon, MO 63368 Phone: 314-368-4842 |