| Kenneth A Hacker, MD | |
|
70 Jungermann Cir Ste 405, Saint Peters, MO 63376-1637 | |
| (636) 916-7100 | |
| (636) 916-7110 |
| Full Name | Kenneth A Hacker |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 38 Years |
| Location | 70 Jungermann Cir Ste 405, 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 |
|---|---|---|---|
| 1164484994 | NPI | - | NPPES |
| 29293 | Other | BLUE CHOICE | |
| 4337092 | Other | AETNA | |
| 088443 | Other | GREAT WEST | |
| 430910980007 | Other | PRUDENTIAL | |
| 017069 | Other | EXCLUSIVE CHOICE | |
| 020029159 | Other | RAILROAD MEDICARE | |
| 1053235 | Other | CARE PARTNER | |
| 1328V2907 | Other | GHP | |
| 1700152 | Other | UNITED HEALTHCARE | |
| 986C2 | Other | MO | BLUE CROSS BLUE SHIELD |
| 203711015 | Medicaid | MO | |
| G1257A | Other | PRINCIPAL | |
| 209034 | Other | HEALTHLINK | |
| 11615 | Other | ESSENCE | |
| BLC27144001 | Other | BLUE CHOICE | |
| SP14388 | Other | CIGNA | |
| 000487747642 | Other | MERCY | |
| M6725 | Other | MEDICARE ARKANSAS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | R5N50 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Barnes-jewish St Peters Hospital | Saint peters, MO | Hospital |
| Progress West Hospital | O fallon, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bjsph Physician Billing Services, Llc | 3678728763 | 6 |
| Entity Name | Bjsph Physician Billing Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639423742 PECOS PAC ID: 3678728763 Enrollment ID: O20130220000480 |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth A Hacker, MD 70 Jungermann Cir Ste 405, Saint Peters, MO 63376-1637 Ph: (636) 916-7100 | Kenneth A Hacker, MD 70 Jungermann Cir Ste 405, Saint Peters, MO 63376-1637 Ph: (636) 916-7100 |
Laurel A Yeager, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 70 Jungermann Cir Ste 405, Saint Peters, MO 63376 Phone: 636-916-7100 Fax: 636-916-7110 | |
Jerad P Miller, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 70 Jungermann Cir Ste 405, Saint Peters, MO 63376 Phone: 636-916-7100 Fax: 636-916-7110 | |
Dr. Venkata Kr Bodavula, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 5600 Mexico Rd Ste 21, Saint Peters, MO 63376 Phone: 636-373-9882 | |
Jennifer L Etling, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 70 Jungermann Cir Ste 405, Saint Peters, MO 63376 Phone: 636-916-7100 Fax: 636-916-7110 | |
Angela Hulsey, MD Surgery Medicare: May Accept Medicare Assignments Practice Location: 145 Saint Peters Centre Blvd, Saint Peters, MO 63376 Phone: 636-896-0600 Fax: 636-723-2000 | |
Dr. Kurt Andrew Piening Jr., MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 70 Jungermann Cir Ste 405, Saint Peters, MO 63376 Phone: 636-916-7100 Fax: 636-916-7110 |