| Jeremy Earle Leidenfrost, MD | |
|
222 S Woods Mill Rd, #550n, Chesterfield, MO 63017-3625 | |
| (314) 434-3049 | |
| Not Available |
| Full Name | Jeremy Earle Leidenfrost |
|---|---|
| Gender | Male |
| Speciality | Cardiac Surgery |
| Experience | 19 Years |
| Location | 222 S Woods Mill Rd, 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 |
|---|---|---|---|
| 1275739872 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 2007016635 (Missouri) | Secondary |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 2012032509 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Phelps Health Homecare | Rolla, MO | Home health agency |
| St Lukes Hospital | Chesterfield, MO | Hospital |
| Parkland Health Center | Farmington, MO | Hospital |
| St Luke's Des Peres Hospital | Saint louis, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cardiothoracic Surgery, Llc | 1254365281 | 13 |
| Entity Name | Cardiothoracic Surgery, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104895812 PECOS PAC ID: 1254365281 Enrollment ID: O20050920000661 |
| Entity Name | Mercy Clinic Cardiovascular And Thoracic Surgery Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538181466 PECOS PAC ID: 6204832199 Enrollment ID: O20061017000413 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeremy Earle Leidenfrost, MD 222 S Woods Mill Rd, #550n, Chesterfield, MO 63017-3625 Ph: (314) 434-3049 | Jeremy Earle Leidenfrost, MD 222 S Woods Mill Rd, #550n, Chesterfield, MO 63017-3625 Ph: (314) 434-3049 |
Ronald D Leidenfrost, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 222 S Woods Mill Rd, Suite 550-n, Chesterfield, MO 63017 Phone: 314-434-3049 Fax: 314-205-6916 | |
Cordie C Coordes, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 222 S Woods Mill Rd, Suite 550-n, Chesterfield, MO 63017 Phone: 314-434-3049 Fax: 314-205-6916 | |
Michael Ryan Reidy, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 222 S Woods Mill Rd Ste 550n, Chesterfield, MO 63017 Phone: 314-434-3049 Fax: 314-590-5939 | |
Victor H Ruiz, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 224 S Woods Mill Rd, Suite 450s, Chesterfield, MO 63017 Phone: 314-434-2454 Fax: 314-576-8176 |