| Jennifer L Etling, MD | |
|
6 Jungermann Circle, Ste 205, St Peters, MO 63376 | |
| (636) 441-2122 | |
| (636) 441-5290 |
| Full Name | Jennifer L Etling |
|---|---|
| Gender | Female |
| Speciality | General Surgery |
| Experience | 28 Years |
| Location | 6 Jungermann Circle, St Peters, 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 |
|---|---|---|---|
| 1528020328 | NPI | - | NPPES |
| 165817 | Other | BLUE SHIELD | |
| 209370105 | Medicaid | MO | |
| M6725 | Other | MEDICARE ARKANSAS | |
| 165817 | Other | BLUE CHOICE | |
| 4309109800 | Other | PRODENTIAL | |
| 017283 | Other | EXCLUSIVE CHOICE | |
| 12593 | Other | ESSENCE | |
| 231210 | Other | GHP | |
| P00195292 | Other | RAILROAD MEDICARE | |
| 1700267 | Other | UNITED HEALTHCARE | |
| 487573 | Other | HEALTHLINK | |
| 7986366 | Other | AETNA | |
| H74520 | Other | MERCY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 2005000203 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Barnes-jewish St Peters Hospital | Saint peters, MO | Hospital |
| Progress West Hospital | O fallon, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bjsph Physician Billing Services, Llc | 3678728763 | 6 |
| Entity Name | Bjsph Physician Billing Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639423742 PECOS PAC ID: 3678728763 Enrollment ID: O20130220000480 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer L Etling, MD 6 Jungermann Circle, Ste 205, St Peters, MO 63376 Ph: (636) 441-2122 | Jennifer L Etling, MD 6 Jungermann Circle, Ste 205, St Peters, MO 63376 Ph: (636) 441-2122 |
Kenneth Allen Hacker, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 6 Jungermann Circle, Ste 205, St Peters, MO 63376 Phone: 636-441-2122 Fax: 636-441-5290 | |
Laurel Ann Yeager, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 6 Jungermann Circle, Ste 205, St Peters, MO 63376 Phone: 636-441-2122 Fax: 636-441-5290 | |
Daniel Joseph Bergmann, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 6 Jungermann Circle, Ste 205, St Peters, MO 63376 Phone: 636-441-2122 Fax: 636-441-5290 | |
Mr. Jerry R Meyers, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 4201 S Cloverleaf Dr, St Peters, MO 63376 Phone: 636-929-4390 Fax: 636-928-1242 | |
Dr. Subbarao Polineni, MD Surgery Medicare: Medicare Enrolled Practice Location: 6 Jungerman Cir, Ste 107, St Peters, MO 63376 Phone: 636-928-1696 Fax: 636-928-3115 |