| John Morris Bedwinek, MD | |
|
400 Medical Plz Ste 100, Lake St Louis, MO 63367-1493 | |
| (636) 695-2316 | |
| (636) 639-8676 |
| Full Name | John Morris Bedwinek |
|---|---|
| Gender | Male |
| Speciality | Radiation Oncology |
| Experience | 55 Years |
| Location | 400 Medical Plz Ste 100, Lake St 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 |
|---|---|---|---|
| 1952367740 | NPI | - | NPPES |
| 107975 | Other | MO | BCBS |
| 2409021 | Other | UHC | |
| 201801628 | Medicaid | MO | |
| 49795 | Other | GHP | |
| 4119583 | Other | AETNA | |
| 900001981 | Other | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0001X | Radiology - Radiation Oncology | R8484 (Missouri) | Primary |
| 2085R0001X | Radiology - Radiation Oncology | 036176269 (Illinois) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ssm Health Depaul Hospital St Louis | Bridgeton, MO | Hospital |
| Ssm Health St Mary's Hospital - St Louis | Richmond heights, MO | Hospital |
| Ssm Health St Joseph Hospital-lake Saint Louis | Lake saint louis, MO | Hospital |
| Ssm Health St Clare Hospital - Fenton | Fenton, MO | Hospital |
| Ozarks Healthcare | West plains, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ozarks Medical Center | 3870491863 | 166 |
| Ssm Medical Group Inc | 6608776299 | 565 |
| Ssm Health Care Group | 0143608372 | 929 |
| Entity Name | Ozarks Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831115641 PECOS PAC ID: 3870491863 Enrollment ID: O20040209001035 |
| Entity Name | SSM Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700966207 PECOS PAC ID: 6608776299 Enrollment ID: O20040729001034 |
| Entity Name | SSM Health Care Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306589544 PECOS PAC ID: 0143608372 Enrollment ID: O20220531002655 |
| Mailing Address | Practice Location Address |
|---|---|
| John Morris Bedwinek, MD Po Box 955534, Saint Louis, MO 63195-5534 Ph: Not Available | John Morris Bedwinek, MD 400 Medical Plz Ste 100, Lake St Louis, MO 63367-1493 Ph: (636) 695-2316 |
Aurora Gonzalez, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 100 Medical Plaza, Lake St Louis, MO 63367 Phone: 636-625-5303 Fax: 636-625-5403 |
David L Pohl, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 100 Medical Plz, Lake St Louis, MO 63367 Phone: 636-625-5303 |
Yu Chen, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 400 Medical Plz Ste 100, Lake St Louis, MO 63367 Phone: 636-638-8600 |
Edward Cohen, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 100 Medical Plz, Lake St Louis, MO 63367 Phone: 636-625-5303 |