| John Mellas, MD | |
|
1011 Bowles Ave Ste 220, Fenton, MO 63026-2384 | |
| (636) 681-3030 | |
| (636) 326-1545 |
| Full Name | John Mellas |
|---|---|
| Gender | Male |
| Speciality | Nephrology |
| Experience | 49 Years |
| Location | 1011 Bowles Ave Ste 220, Fenton, 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 |
|---|---|---|---|
| 1497712079 | NPI | - | NPPES |
| 202250106 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RN0300X | Internal Medicine - Nephrology | R3E73 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Fmc - University City | University city, MO | Dialysis facility |
| Rai Care Center -hampton | Saint louis, MO | Dialysis facility |
| Shrewsbury Dialysis | Saint louis, MO | Dialysis facility |
| Westfall Dialysis | Jennings, MO | Dialysis facility |
| Ssm Health St Mary's Hospital - St Louis | Richmond heights, MO | Hospital |
| Ssm St Clare Health Center | Fenton, MO | Hospital |
| Missouri Baptist Medical Center | Town and country, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Nephrology And Hypertension Specialists Llc | 4082501804 | 7 |
| Entity Name | Nephrology And Hypertension Specialists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770554842 PECOS PAC ID: 4082501804 Enrollment ID: O20040304000326 |
| Entity Name | Nephrology And Hypertension Specialists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730127200 PECOS PAC ID: 4082501804 Enrollment ID: O20041101000131 |
| Mailing Address | Practice Location Address |
|---|---|
| John Mellas, MD 1011 Bowles Ave Ste 220, Fenton, MO 63026-2384 Ph: (636) 681-3030 | John Mellas, MD 1011 Bowles Ave Ste 220, Fenton, MO 63026-2384 Ph: (636) 681-3030 |
Dr. Jeffrey P Wilson, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1011 Bowles Ave Ste 300, Fenton, MO 63026 Phone: 636-496-5065 | |
Dr. Gloria Yetunde Ojerinde, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 1015 Bowles Ave, Fenton, MO 63026 Phone: 636-496-2000 | |
Dr. Aman Kanti Patel, DO Nephrology Medicare: Medicare Enrolled Practice Location: 1011 Bowles Ave Ste 300, Fenton, MO 63026 Phone: 636-496-5065 | |
Dr. Gregorius Resuma Penilla, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1345 Smizer Mill Rd Ste 1100, Fenton, MO 63026 Phone: 636-496-5040 | |
Dr. Stephanie Jean Becker-koepke, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1011 Bowles Ave Ste G50, Fenton, MO 63026 Phone: 636-496-4640 | |
Dr. Jeffrey J Hallazgo, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 714 Gravois Rd, Suite 100, Fenton, MO 63026 Phone: 636-326-6100 Fax: 636-326-6110 | |
Dr. Mansoor Ul Haq, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1011 Bowles Ave Ste G50, Fenton, MO 63026 Phone: 636-496-4640 |