| Dr Tanya Marya Wildes, MD | |
|
150 Entrance Way, Saint Peters, MO 63376-1645 | |
| (636) 996-3360 | |
| (636) 916-9176 |
| Full Name | Dr Tanya Marya Wildes |
|---|---|
| Gender | Female |
| Speciality | Hematology |
| Experience | 23 Years |
| Location | 150 Entrance Way, Saint Peters, 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 |
|---|---|---|---|
| 1659592152 | NPI | - | NPPES |
| ENROLLED | Medicaid | IL | |
| 1659592152 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RX0202X | Internal Medicine - Medical Oncology | 2009005695 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| The Nebraska Medical Center | Omaha, NE | Hospital |
| Bellevue Medical Center | Bellevue, NE | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Unmc Physicians | 6002728391 | 1389 |
| Entity Name | Unmc Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417912114 PECOS PAC ID: 6002728391 Enrollment ID: O20031104000664 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Tanya Marya Wildes, MD 660 S Euclid Ave, C B 8056, Saint Louis, MO 63110-1010 Ph: (314) 747-1171 | Dr Tanya Marya Wildes, MD 150 Entrance Way, Saint Peters, MO 63376-1645 Ph: (636) 996-3360 |
Eldad Shaul Bialecki, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 70 Jungermann Cir Ste 201, Saint Peters, MO 63376 Phone: 636-916-9615 | |
Furqan F Raja, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 70 Jungermann Circle, Suite 405, Saint Peters, MO 63376 Phone: 636-720-0310 Fax: 636-720-0311 | |
Alexander Marinov Markov, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 201 Bjc Saint Peters Dr Ste 100, Saint Peters, MO 63376 Phone: 636-916-7235 | |
Dr. Pierre Moeser, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 70 Jungermann Cir, Ste 300, Saint Peters, MO 63376 Phone: 636-916-9020 Fax: 636-916-9021 | |
Dr. Lawrence Osei, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 10 Hospital Dr, Dept Anesthesiology, Saint Peters, MO 63376 Phone: 800-862-9980 Fax: 314-362-1185 | |
Dr. Anna Roshal, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 150 Entrance Way, Saint Peters, MO 63376 Phone: 636-916-9920 Fax: 636-916-9176 | |
Dr. Sandeep Hindupur, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 10 Hospital Dr Ste 100, Saint Peters, MO 63376 Phone: 636-916-7272 |