| Dr Trina J Blythe, MD | |
|
20 Progress Point Pkwy Ste 100, O Fallon, MO 63368-2207 | |
| (636) 344-2213 | |
| Not Available |
| Full Name | Dr Trina J Blythe |
|---|---|
| Gender | Female |
| Speciality | Pediatric Medicine |
| Experience | 30 Years |
| Location | 20 Progress Point Pkwy Ste 100, 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 |
|---|---|---|---|
| 1316080559 | NPI | - | NPPES |
| 122086 | Other | MO | BLUE CROSS BLUE SHIELD ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 119707 (Missouri) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Physician Groups Lc | 3072421254 | 526 |
| 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 Trina J Blythe, MD 20 Progress Point Pkwy Ste 100, O Fallon, MO 63368-2207 Ph: Not Available | Dr Trina J Blythe, MD 20 Progress Point Pkwy Ste 100, O Fallon, MO 63368-2207 Ph: (636) 344-2213 |
Dr. Cecilia H Yu, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 20 Progress Point Pkwy, Ste 220, O Fallon, MO 63368 Phone: 636-344-3333 Fax: 636-344-3334 |
Kimberly N Hackney, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Winding Woods Dr Ste 120, O Fallon, MO 63366 Phone: 636-978-7902 |
Jasmine Kaur, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 300 Winding Woods Dr Ste 120, O Fallon, MO 63366 Phone: 636-978-7902 |
Dr. Yasangi Marina Jayasinha, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1001 Highway K, Suite 4, O Fallon, MO 63366 Phone: 636-240-9896 |
Dr. John A Myers, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 20 Progress Point Pkwy, Ste 220, O Fallon, MO 63368 Phone: 636-344-3333 Fax: 636-344-3334 |
Dr. Phillip D Reichert, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 20 Progress Point Pkwy, Ste 220, O Fallon, MO 63368 Phone: 636-344-3333 Fax: 636-344-3334 |
Melissa Roewe, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 9979 Winghaven Blvd Ste 206, O Fallon, MO 63368 Phone: 636-561-5291 Fax: 636-561-5290 |