| Keith R Thomae, MD | |
|
3533 Dunn Rd, Suite 210, Florissant, MO 63033-6761 | |
| (314) 838-6600 | |
| (314) 838-6611 |
| Full Name | Keith R Thomae |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 37 Years |
| Location | 3533 Dunn Rd, Florissant, 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 |
|---|---|---|---|
| 1184679409 | NPI | - | NPPES |
| 036081399 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 2010011996 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Francis Hospital | Memphis, TN | Hospital |
| Saint Francis Bartlett Medical Center | Bartlett, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Saint Francis Physician Network, Llc | 2365701943 | 69 |
| Entity Name | Saint Francis Physician Network, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295258002 PECOS PAC ID: 2365701943 Enrollment ID: O20180129001351 |
| Mailing Address | Practice Location Address |
|---|---|
| Keith R Thomae, MD 3331 W Deyoung St, Ste 305, Marion, IL 62959-5898 Ph: (314) 838-6600 | Keith R Thomae, MD 3533 Dunn Rd, Suite 210, Florissant, MO 63033-6761 Ph: (314) 838-6600 |
Dr. Katherine Lubell Glover-collins, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1225 Graham Rd, Div Surg Oncology, Florissant, MO 63031 Phone: 314-362-2280 Fax: 888-352-8360 | |
Christopher Antonio Menendez, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1225 Graham Rd, Florissant, MO 63031 Phone: 314-953-6886 Fax: 314-953-6887 |