| Gregg Bantrup, MD | |
|
300 1st Capitol Dr, Saint Charles, MO 63301-2844 | |
| (314) 989-3000 | |
| Not Available |
| Full Name | Gregg Bantrup |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 30 Years |
| Location | 300 1st Capitol Dr, Saint Charles, 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 |
|---|---|---|---|
| 1215986435 | NPI | - | NPPES |
| P00139813 | Other | MO | RR MEDICARE |
| 208042010 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 108695 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ssm St Joseph Health Center | Saint charles, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Metro-west Anesthesia Group Inc | 2163329921 | 184 |
| Entity Name | Metro-west Anesthesia Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245427335 PECOS PAC ID: 2163329921 Enrollment ID: O20031219000779 |
| Entity Name | Ambulatory Anesthesia Services Of St. Charles, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467634097 PECOS PAC ID: 3173604782 Enrollment ID: O20080121000079 |
| Mailing Address | Practice Location Address |
|---|---|
| Gregg Bantrup, MD 13523 Barrett Parkway Dr, Suite 210, Ballwin, MO 63021-3802 Ph: (314) 775-2816 | Gregg Bantrup, MD 300 1st Capitol Dr, Saint Charles, MO 63301-2844 Ph: (314) 989-3000 |
John Gisi, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 300 1st Capitol Dr, Saint Charles, MO 63301 Phone: 314-989-3000 | |
Stephanie J Sellner, CRNA Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 300 First Capitol Drive, Ste 210, Saint Charles, MO 63301 Phone: 314-775-2816 | |
Gregory J Macdonnell, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5 Glenview Dr, Saint Charles, MO 63304 Phone: 636-244-4666 | |
Willard Chamberlin, D.O. Anesthesiology Medicare: May Accept Medicare Assignments Practice Location: 300 1st Capitol Dr, Saint Charles, MO 63301 Phone: 314-989-3000 | |
Lawrence Baudendistel, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 300 1st Capitol Dr, Saint Charles, MO 63301 Phone: 314-989-3000 | |
Bruce Sheade, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 300 1st Capitol Dr, Saint Charles, MO 63301 Phone: 314-989-3000 |