| Elizabeth H Maylack, DO | |
|
1551 Wall St Ste 400, Saint Charles, MO 63303-3541 | |
| (636) 669-7006 | |
| (636) 669-7008 |
| Full Name | Elizabeth H Maylack |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 1551 Wall St Ste 400, Saint Charles, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154687077 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036140361 (Illinois) | Secondary |
| 207Q00000X | Family Medicine | 2018020904 (Missouri) | Primary |
| Entity Name | American Multispecialty Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972559532 PECOS PAC ID: 1658365572 Enrollment ID: O20040413001412 |
| Entity Name | Post Acute Medical Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730713025 PECOS PAC ID: 5193156115 Enrollment ID: O20240723000304 |
| Entity Name | Altea Medical Missouri Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649032608 PECOS PAC ID: 0143768762 Enrollment ID: O20240814002635 |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth H Maylack, DO Po Box 23340, Saint Louis, MO 63156-3340 Ph: (314) 851-1000 | Elizabeth H Maylack, DO 1551 Wall St Ste 400, Saint Charles, MO 63303-3541 Ph: (636) 669-7006 |
Dr. Steven B Livingstone, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 711 Veterans Memorial Pkwy Ste 300, Saint Charles, MO 63303 Phone: 636-669-2350 | |
Dr. Eric Nalagan, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 2125 Bluestone Dr Ste B, Saint Charles, MO 63303 Phone: 636-688-3572 Fax: 888-498-4152 | |
Nicholas Moore, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1475 Kisker Rd Ste 200, Saint Charles, MO 63304 Phone: 636-498-5810 | |
Dr. Eric Lee Martin, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1820 Zumbehl Rd Ste 130a, Saint Charles, MO 63303 Phone: 636-947-2334 | |
Dr. Richard F Vaughn, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1475 Kisker Rd, Saint Charles, MO 63304 Phone: 636-498-5850 Fax: 636-669-2401 | |
Dr. Pamela Latarsha Buchanan, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1820 Zumbehl Rd, Suite 130-a, Saint Charles, MO 63303 Phone: 636-947-2334 Fax: 636-940-5459 |