| Dr Lauren Elizabeth Jones, DO | |
| 714 Gravois Rd, Ste 200, Fenton, MO 63026-7766 | |
| (636) 349-5437 | |
| (636) 349-6663 | 
| Full Name | Dr Lauren Elizabeth Jones | 
|---|---|
| Gender | Female | 
| Speciality | Pediatrics | 
| Location | 714 Gravois Rd, Fenton, Missouri | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1477084564 | NPI | - | NPPES | 
| 200045918 | Medicaid | MO | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208000000X | Pediatrics | 2020033533 (Missouri) | Primary | 
| Entity Name | Wuca-fenton Pediatrics Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1760953095 PECOS PAC ID: 0840530481 Enrollment ID: O20190319001480 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Lauren Elizabeth Jones, DO Po Box 7412053, Chicago, IL 60674-2053 Ph: (636) 349-5437 | Dr Lauren Elizabeth Jones, DO 714 Gravois Rd, Ste 200, Fenton, MO 63026-7766 Ph: (636) 349-5437 | 
| Lori Hugg, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1345 Smizer Mill Rd, Fenton, MO 63026 Phone: 636-496-5021 | |
| Joseph Rudolph, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1011 Bowles Ave, Suite 300, Fenton, MO 63026 Phone: 314-496-5000 Fax: 314-496-5015 | |
| Miss Manasi Suhas Hulyalkar, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1203 Smizer Mill Rd Ste 108, Fenton, MO 63026 Phone: 636-717-1340 | |
| Dr. Sue E Jagler, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 714 Gravois Rd, Ste 200, Fenton, MO 63026 Phone: 636-349-5437 Fax: 636-349-6663 | |
| Dr. Andrew L Karanas, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 10 Bowles Ave, Fenton, MO 63026 Phone: 636-496-2502 | |
| Dr. Stephen E. Thierauf, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1203 Smizer Mill Rd, Ste 108, Fenton, MO 63026 Phone: 636-717-1340 Fax: 636-717-1344 |