Keith Wickenhauser, MD | |
201 Bjc Saint Peters Dr Ste 100, Saint Peters, MO 63376 | |
(636) 916-8200 | |
(636) 946-5774 |
Full Name | Keith Wickenhauser |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 10 Years |
Location | 201 Bjc Saint Peters Dr Ste 100, Saint Peters, 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 |
---|---|---|---|
1184042855 | NPI | - | NPPES |
Facility Name | Location | Facility Type |
---|---|---|
Premiere Home Health | Saint charles, MO | Home health agency |
Ssm Health At Home Home Health-st Louis | Saint louis, MO | Home health agency |
Aw Health Care | Saint louis, MO | Home health agency |
Nurses & Company Hospice Care | Saint peters, MO | Hospice |
Vitas Healthcare Corporation Midwest | Saint louis, MO | Hospice |
Bjc Hospice | Saint louis, MO | Hospice |
Barnes-jewish St Peters Hospital | Saint peters, MO | Hospital |
Christian Hospital Northeast | Saint louis, MO | Hospital |
Ssm St Joseph Health Center | Saint charles, MO | Hospital |
Progress West Hospital | O fallon, MO | Hospital |
Ssm St Joseph Hospital West | Lake saint louis, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Boonslick Medical Group Inc | 3779481510 | 8 |
Ssm Select Rehab St Louis Llc | 2567510449 | 130 |
Entity Name | Boonslick Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588662803 PECOS PAC ID: 3779481510 Enrollment ID: O20040727000319 |
Mailing Address | Practice Location Address |
---|---|
Keith Wickenhauser, MD 201 Bjc Saint Peters Dr Ste 100, Saint Peters, MO 63376-3386 Ph: (636) 916-8200 | Keith Wickenhauser, MD 201 Bjc Saint Peters Dr Ste 100, Saint Peters, MO 63376 Ph: (636) 916-8200 |
Furqan F Raja, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 70 Jungermann Circle, Suite 405, Saint Peters, MO 63376 Phone: 636-720-0310 Fax: 636-720-0311 | |
Dr. Pierre Moeser, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 70 Jungermann Cir, Ste 300, Saint Peters, MO 63376 Phone: 636-916-9020 Fax: 636-916-9021 | |
Dr. Ron Javdan, M.D. Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 6 Jungermann Cir, Suite 203, Saint Peters, MO 63376 Phone: 636-928-1822 Fax: 636-441-7033 | |
Dr. Lawrence Osei, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 10 Hospital Dr, Dept Anesthesiology, Saint Peters, MO 63376 Phone: 800-862-9980 Fax: 314-362-1185 | |
Dr. Anna Roshal, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 150 Entrance Way, Saint Peters, MO 63376 Phone: 636-916-9920 Fax: 636-916-9176 | |
Dr. Sandeep Hindupur, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 10 Hospital Dr Ste 100, Saint Peters, MO 63376 Phone: 636-916-7272 | |
April Thebeau, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 10 Hospital Dr, Saint Peters, MO 63376 Phone: 314-317-0600 Fax: 314-317-0606 |