| Gary A Vickers, DO | |
|
224 S Woods Mill Rd Ste 435s, Chesterfield, MO 63017-3408 | |
| (314) 576-2394 | |
| (314) 590-5937 |
| Full Name | Gary A Vickers |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 31 Years |
| Location | 224 S Woods Mill Rd Ste 435s, Chesterfield, Missouri |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902867633 | NPI | - | NPPES |
| 1902867633 | Medicaid | MO | |
| 1902867633 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 108736 (Missouri) | Secondary |
| 207Q00000X | Family Medicine | 108736 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Luke's Home Health Services | Chesterfield, MO | Home health agency |
| St Lukes Hospital | Chesterfield, MO | Hospital |
| St Luke's Des Peres Hospital | Saint louis, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Woods Mill Medical Associates, Llc | 0749441830 | 6 |
| Entity Name | Woods Mill Medical Associates, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861762668 PECOS PAC ID: 0749441830 Enrollment ID: O20120417000610 |
| Entity Name | Emergency Physicians Of St Lukes Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215359815 PECOS PAC ID: 3779714142 Enrollment ID: O20140327001965 |
| Mailing Address | Practice Location Address |
|---|---|
| Gary A Vickers, DO 1551 Wall St, Suite 310, Saint Charles, MO 63303-3539 Ph: (636) 669-2268 | Gary A Vickers, DO 224 S Woods Mill Rd Ste 435s, Chesterfield, MO 63017-3408 Ph: (314) 576-2394 |
Dr. Meghan Henningsen, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 17417 Chesterfield Airport Rd, Chesterfield, MO 63005 Phone: 366-857-7246 | |
Dr. Martha J. Colville, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 15740 S Outer 40 Rd, Chesterfield, MO 63017 Phone: 636-237-4200 Fax: 314-364-3682 | |
Keerthana Anand, M.D, M.B.B.S., M.S. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 15838 Fountain Plaza Dr Ste A, Chesterfield, MO 63017 Phone: 636-484-5220 | |
Monakka Afroz, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 17701 Edison Ave Ste 101, Chesterfield, MO 63005 Phone: 636-735-4122 Fax: 636-735-4123 | |
Dr. Catherine M Hohn, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 16216 Baxter Road, Suite 100, Chesterfield, MO 63017 Phone: 636-449-4700 Fax: 636-449-2595 | |
Michael E Cannon, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 16216 Baxter Rd Ste 340, Chesterfield, MO 63017 Phone: 314-325-8925 | |
Jill Oberle, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 232 S Woods Mill Rd, Suite 330 East, Chesterfield, MO 63017 Phone: 314-205-6737 Fax: 314-576-2378 |