| Jeremy Phillippe Broadnax, MD | |
|
12700 Southfork Rd Ste 155, Saint Louis, MO 63128-3276 | |
| (314) 525-7780 | |
| (314) 525-7795 |
| Full Name | Jeremy Phillippe Broadnax |
|---|---|
| Gender | Male |
| Speciality | Pain Management |
| Experience | 18 Years |
| Location | 12700 Southfork Rd Ste 155, Saint Louis, 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 |
|---|---|---|---|
| 1326204611 | NPI | - | NPPES |
| 200332001 | Medicaid | AR | |
| 431560263 | Other | MO | TRICARE |
| 1326204611 | Medicaid | MO | |
| P01246688 | Other | MO | RR MCR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 2013031744 (Missouri) | Secondary |
| 207LP2900X | Anesthesiology - Pain Medicine | 2013031744 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Hospital Springfield | Springfield, MO | Hospital |
| Mercy Hospital Lebanon | Lebanon, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Clinic Springfield Communities | 7416865845 | 989 |
| Entity Name | Mercy Clinic Springfield Communities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245277631 PECOS PAC ID: 7416865845 Enrollment ID: O20031104000060 |
| Entity Name | Mercy Clinic Springfield Communities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972771657 PECOS PAC ID: 7416865845 Enrollment ID: O20031218000354 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeremy Phillippe Broadnax, MD 12700 Southfork Rd Ste 155, Saint Louis, MO 63128-3276 Ph: (314) 525-7780 | Jeremy Phillippe Broadnax, MD 12700 Southfork Rd Ste 155, Saint Louis, MO 63128-3276 Ph: (314) 525-7780 |
Dr. Pawan S Sethi, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 12700 Southfork Rd Ste 153, Saint Louis, MO 63128 Phone: 314-543-5283 Fax: 314-543-5233 | |
Dr. Shruthimurthy Hassankrishnamurthy, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1465 S Grand Blvd, Saint Louis, MO 63104 Phone: 314-577-5629 Fax: 314-268-6454 | |
Paul S Patane, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3015 N Ballas Rd, Saint Louis, MO 63131 Phone: 314-996-5330 Fax: 314-810-1399 | |
Dr. Nguyet M Nguyen, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Barnes Jewish Hospital Plz, Dept Internal Medicine, Saint Louis, MO 63110 Phone: 314-747-3000 Fax: 314-454-5919 | |
Dr. Thomas James Graetz, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Barnes Jewish Hospital Plz, Dept Anesthesiology, Saint Louis, MO 63110 Phone: 800-862-9980 Fax: 314-362-1185 | |
Dr. Yunhong Zhang, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 10010 Kennerly Rd, Saint Louis, MO 63128 Phone: 314-525-1000 | |
Katherine Elizabeth Stiles, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1 Childrens Pl, Saint Louis, MO 63110 Phone: 314-454-6215 Fax: 314-454-2296 |