| Emily Griffard Goeller, MD | |
|
1058 Old Des Peres Road, St. Louis, MO 63131 | |
| (314) 266-0412 | |
| (314) 798-1579 |
| Full Name | Emily Griffard Goeller |
|---|---|
| Gender | Female |
| Speciality | Dermatology |
| Experience | 14 Years |
| Location | 1058 Old Des Peres Road, St. Louis, 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 |
|---|---|---|---|
| 1144516931 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 2015011438 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Lukes Hospital | Chesterfield, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Vista Dermatology Llc | 8123544285 | 3 |
| Associates In Dermatology And Cutaneous Surgery Ltd | 8628005923 | 4 |
| Entity Name | Associates In Dermatology And Cutaneous Surgery Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659594539 PECOS PAC ID: 8628005923 Enrollment ID: O20050719000378 |
| Entity Name | The Curators Of The University Of Missouri |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235126921 PECOS PAC ID: 4486759560 Enrollment ID: O20070418000290 |
| Entity Name | Vista Dermatology Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659177335 PECOS PAC ID: 8123544285 Enrollment ID: O20250501001051 |
| Mailing Address | Practice Location Address |
|---|---|
| Emily Griffard Goeller, MD 1058 Old Des Peres Road, St. Louis, MO 63131 Ph: (314) 266-0412 | Emily Griffard Goeller, MD 1058 Old Des Peres Road, St. Louis, MO 63131 Ph: (314) 266-0412 |
Lawrence L Wang, M.D., PHD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 10004 Kennerly Rd, #375-b, St. Louis, MO 63128 Phone: 314-842-5660 Fax: 314-842-0169 | |
Charles W Miller Iii, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 10004 Kennerly Rd, #395-b, St. Louis, MO 63128 Phone: 314-842-5660 Fax: 314-842-0169 |