| Gerardo Gutierrez, MD | |
|
7245 Raider Rd, Bonne Terre, MO 63628-3767 | |
| (573) 468-4186 | |
| Not Available |
| Full Name | Gerardo Gutierrez |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 34 Years |
| Location | 7245 Raider Rd, Bonne Terre, 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 |
|---|---|---|---|
| 1679599518 | NPI | - | NPPES |
| 205762123 | Medicaid | MO | |
| 205762107 | Medicaid | MO | |
| 1679599518 | Medicaid | MO | |
| 205762149 | Medicaid | MO | |
| 106267A005 | Other | MO | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 01046504A (Indiana) | Secondary |
| 207P00000X | Emergency Medicine | 2001022240 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Christian Hospital Northeast | Saint louis, MO | Hospital |
| Pike County Memorial Hospital | Louisiana, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southeastern Emergency Physicians Of Memphis Llc | 5395643209 | 76 |
| Entity Name | Southeastern Emergency Physicians Of Memphis Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437105277 PECOS PAC ID: 5395643209 Enrollment ID: O20060711000434 |
| Mailing Address | Practice Location Address |
|---|---|
| Gerardo Gutierrez, MD 75 Remitt Drive, Lockbox 1900, Chicago, IL 60675-1900 Ph: (866) 916-5259 | Gerardo Gutierrez, MD 7245 Raider Rd, Bonne Terre, MO 63628-3767 Ph: (573) 468-4186 |
Ralph Leigh, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 7245 Raider Rd, Bonne Terre, MO 63628 Phone: 573-358-1400 | |
Dr. Phillip A. Brewer, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 7245 Raider Rd, Bonne Terre, MO 63628 Phone: 203-376-4684 | |
Michael Clippard, M.D., FAAP Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 7245 Raider Rd, Bonne Terre, MO 63628 Phone: 573-358-1400 |