| Dr Kyle Anthony O'blanc, MD | |
|
1825 High Oak Rd, Saint Louis, MO 63131-1501 | |
| (504) 710-8234 | |
| Not Available |
| Full Name | Dr Kyle Anthony O'blanc |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 11 Years |
| Location | 1825 High Oak Rd, Saint 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 |
|---|---|---|---|
| 1013116458 | NPI | - | NPPES |
| 200062980 | Medicaid | MO | |
| ENROLLED | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 2018014429 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ssm St Clare Health Center | Fenton, MO | Hospital |
| Ssm Depaul Health Center | Bridgeton, MO | Hospital |
| Ssm Health St Mary's Hospital - St Louis | Richmond heights, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ssm Health Care St Louis | 7810800737 | 155 |
| Entity Name | Ssm Health Care St Louis |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275586174 PECOS PAC ID: 7810800737 Enrollment ID: O20031118000393 |
| Entity Name | Washington University |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962442475 PECOS PAC ID: 9830008770 Enrollment ID: O20031204000987 |
| Entity Name | Miracl Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205304300 PECOS PAC ID: 4587908041 Enrollment ID: O20181210003487 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kyle Anthony O'blanc, MD 1825 High Oak Rd, Saint Louis, MO 63131-1501 Ph: (504) 710-8234 | Dr Kyle Anthony O'blanc, MD 1825 High Oak Rd, Saint Louis, MO 63131-1501 Ph: (504) 710-8234 |
Dr. Hilton I Price, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 11133 Dunn Rd, Dept Radiology, Saint Louis, MO 63136 Phone: 314-362-7200 Fax: 314-747-4189 | |
Benjamin Lee, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 510 S Kingshighway Blvd, Saint Louis, MO 63110 Phone: 314-362-7092 | |
Dr. Michael D. Bazzani, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 10010 Kennerly Rd, Saint Louis, MO 63128 Phone: 314-525-1165 Fax: 314-525-1485 | |
Dr. Mahad Anwaar Minhas, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 510 S Kingshighway Blvd, Dept Radiology, Saint Louis, MO 63110 Phone: 314-362-7200 Fax: 314-747-4189 | |
Dr. Chelsea Renee Schmitt, MD Radiology Medicare: Medicare Enrolled Practice Location: 510 S Kingshighway Blvd, Dept Radiology, Saint Louis, MO 63110 Phone: 314-362-7200 Fax: 314-747-4189 | |
Dr. Ziad Walid Tarcha, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 510 S Kingshighway Blvd, Dept Radiology, Saint Louis, MO 63110 Phone: 314-362-7200 Fax: 314-747-4189 |