| Leslie B Wilson, MD | |
|
525 Couch Ave, Kirkwood, MO 63122-5536 | |
| (314) 966-1500 | |
| (314) 966-1681 |
| Full Name | Leslie B Wilson |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 29 Years |
| Location | 525 Couch Ave, Kirkwood, Missouri |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801834056 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 110704 (Missouri) | Secondary |
| 208M00000X | Hospitalist | 110704 (Missouri) | Secondary |
| 207P00000X | Emergency Medicine | 110704 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ssm St Clare Health Center | Fenton, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Galen Inpatient Physicians Pc | 3678464633 | 692 |
| 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 | Dr. Petre I Anguelinin, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265538177 PECOS PAC ID: 4981602927 Enrollment ID: O20070102000375 |
| Entity Name | Galen Inpatient Physicians Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538714688 PECOS PAC ID: 3678464633 Enrollment ID: O20191115000362 |
| Mailing Address | Practice Location Address |
|---|---|
| Leslie B Wilson, MD 1836 Lackland Hill Pkwy, Attention: Credentialing Department, Saint Louis, MO 63146-3572 Ph: (314) 989-0300 | Leslie B Wilson, MD 525 Couch Ave, Kirkwood, MO 63122-5536 Ph: (314) 966-1500 |
James H Donnell, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 525 Couch Ave, Kirkwood, MO 63122 Phone: 314-966-1500 Fax: 314-966-1681 | |
Mark A Mason, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 525 Couch Ave, Kirkwood, MO 63122 Phone: 314-966-1500 Fax: 314-966-1681 | |
John C Vandover, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 525 Couch Ave, Kirkwood, MO 63122 Phone: 314-966-1500 Fax: 314-966-1681 | |
Robert J Paino, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 525 Couch Ave, Kirkwood, MO 63122 Phone: 314-966-1500 Fax: 314-966-1681 | |
John C Strupel, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 525 Couch Ave, Kirkwood, MO 63122 Phone: 314-966-1500 Fax: 314-966-1681 | |
Gaetano Venezia, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 525 Couch Ave, Kirkwood, MO 63122 Phone: 314-966-1500 Fax: 314-966-1681 | |
Jonas V Grybinas, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 525 Couch Ave, Kirkwood, MO 63122 Phone: 314-966-1500 Fax: 314-966-1681 |