| Lydia Luisa Archuleta, MD | |
|
901 E 5th St, Washington, MO 63090-3127 | |
| (636) 239-8000 | |
| Not Available |
| Full Name | Lydia Luisa Archuleta |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 9 Years |
| Location | 901 E 5th St, Washington, 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 |
|---|---|---|---|
| 1205282639 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 2019030489 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Louis University Hospital | Saint louis, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ssm Health Care Group | 0143608372 | 802 |
| Entity Name | Slh Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881668051 PECOS PAC ID: 9830132653 Enrollment ID: O20050602000941 |
| Entity Name | Ssm Health Care Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306589544 PECOS PAC ID: 0143608372 Enrollment ID: O20220531002655 |
| Mailing Address | Practice Location Address |
|---|---|
| Lydia Luisa Archuleta, MD 901 E 5th St, Washington, MO 63090-3127 Ph: (636) 239-8000 | Lydia Luisa Archuleta, MD 901 E 5th St, Washington, MO 63090-3127 Ph: (636) 239-8000 |
Dr. Isaac I Cohen, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 901 Patients First Drive, Washington, MO 63090 Phone: 636-390-1600 Fax: 636-390-1601 | |
Sudhanshu Gogia, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 901 Patients First Dr, Washington, MO 63090 Phone: 636-239-7344 Fax: 636-239-9436 | |
Rashid Mahmood Qureshi, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 901 E 5th St, Washington, MO 63090 Phone: 636-239-8231 | |
Dr. Nicholas W Frederickson, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 901 Patients First Drive Suite 3300, Washington, MO 63090 Phone: 636-239-7344 Fax: 636-239-9436 | |
Dr. John R Douglas Peterson, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 901 Patients First Dr Ste 3300, Washington, MO 63090 Phone: 636-239-7344 | |
Mohan Mallikarjuna Edupuganti, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 901 Patients First Dr Ste 2500, Washington, MO 63090 Phone: 636-239-2711 | |
Dr. Roberto Pacheco-coronado, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 901 Patients First Dr Ste 2500, Washington, MO 63090 Phone: 636-239-2711 |