| Felipe Orellana, MD | |
|
10 Hospital Dr, St Peters, MO 63376-1659 | |
| (314) 317-0600 | |
| (314) 317-0606 |
| Full Name | Felipe Orellana |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 10 Hospital Dr, St Peters, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922071877 | NPI | - | NPPES |
| 1922071877 | Medicaid | IL | |
| 208433409 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 2001016016 (Missouri) | Primary |
| 208M00000X | Hospitalist | 2001016016 (Missouri) | Secondary |
| Entity Name | Southeastern Physician Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083835441 PECOS PAC ID: 0042307852 Enrollment ID: O20160809000235 |
| Mailing Address | Practice Location Address |
|---|---|
| Felipe Orellana, MD 12101 Woodcrest Executive Dr, Suite 210, Saint Louis, MO 63141-5047 Ph: (314) 317-0600 | Felipe Orellana, MD 10 Hospital Dr, St Peters, MO 63376-1659 Ph: (314) 317-0600 |
Romulo Joven Fajatin, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 4200 N Cloverleaf Dr, Ste A, St Peters, MO 63376 Phone: 636-939-9000 Fax: 636-447-3344 | |
Amin Radparvar, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 70 Jungermann Cir, Suite 401, St Peters, MO 63376 Phone: 636-939-9004 Fax: 636-922-9045 | |
Dr. Joseph Ghio Viviano Jr., M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 410a Jungermann Rd, St Peters, MO 63376 Phone: 636-928-2280 Fax: 636-928-6419 | |
Dr. Brian W. Stufflebam, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6 Jungermann Cir, Suite 201, St Peters, MO 63376 Phone: 636-441-4660 Fax: 636-936-8833 |