| Jenny Lynne Shaffer, MD | |
|
10010 Kennerly Road, Attn Cancer Care Center, St Louis, MO 63128-2106 | |
| (314) 525-1688 | |
| (314) 525-1689 |
| Full Name | Jenny Lynne Shaffer |
|---|---|
| Gender | Female |
| Speciality | Radiation Oncology |
| Experience | 17 Years |
| Location | 10010 Kennerly Road, St Louis, 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 |
|---|---|---|---|
| 1073838322 | NPI | - | NPPES |
| 1073838322 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0001X | Radiology - Radiation Oncology | 2017014159 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Hospital South | Saint louis, MO | Hospital |
| Mercy Hospital St Louis | Saint louis, MO | Hospital |
| Mercy Hospital Jefferson | Festus, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| West County Radiological Group Inc | 8527966944 | 99 |
| West County Radiological Group Inc | 8527966944 | 99 |
| Entity Name | West County Radiological Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477500585 PECOS PAC ID: 8527966944 Enrollment ID: O20031223000255 |
| Entity Name | West County Radiological Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477500585 PECOS PAC ID: 8527966944 Enrollment ID: O20040326000180 |
| Mailing Address | Practice Location Address |
|---|---|
| Jenny Lynne Shaffer, MD 11475 Olde Cabin Rd Ste 200, Saint Louis, MO 63141-7129 Ph: (314) 991-8200 | Jenny Lynne Shaffer, MD 10010 Kennerly Road, Attn Cancer Care Center, St Louis, MO 63128-2106 Ph: (314) 525-1688 |
John A Merkle, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 774 N New Ballas Rd, St Louis, MO 63141 Phone: 314-567-1656 Fax: 314-567-0622 | |
Humberto M Fagundes, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 3015 N New Ballas Rd, St Louis, MO 63131 Phone: 314-996-5180 Fax: 314-821-2180 | |
Bruce J Walz, MD Radiology Medicare: Medicare Enrolled Practice Location: 3635 Vista, St Louis, MO 63110 Phone: 314-577-8815 Fax: 314-268-5106 | |
John H Niemeyer, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 3015 N New Ballas Rd, St Louis, MO 63131 Phone: 314-996-5180 Fax: 314-821-2180 | |
Ustun Aydingoz, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3635 Vista, St Louis, MO 63110 Phone: 314-268-5783 Fax: 314-268-5116 | |
Amy A Mosher, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 3015 N New Ballas Rd, St Louis, MO 63131 Phone: 314-966-5180 Fax: 314-821-2180 |