| Mark Douglas Ravenscraft, MD | |
|
1753 Stifel Lane Dr, Town And Country, MO 63017-8048 | |
| (314) 439-5113 | |
| Not Available |
| Full Name | Mark Douglas Ravenscraft |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Nephrology |
| Location | 1753 Stifel Lane Dr, Town And Country, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669571238 | NPI | - | NPPES |
| 110198407 | Other | MO | RAILROAD MEDICARE |
| 202897500 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RN0300X | Internal Medicine - Nephrology | R4F85 (Missouri) | Primary |
| Entity Name | Mercy Clinic Nephrology, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194135632 PECOS PAC ID: 8921327115 Enrollment ID: O20150511001530 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Douglas Ravenscraft, MD 1753 Stifel Lane Dr, Town And Country, MO 63017-8048 Ph: (314) 439-5113 | Mark Douglas Ravenscraft, MD 1753 Stifel Lane Dr, Town And Country, MO 63017-8048 Ph: (314) 439-5113 |
Dr. Christopher T. Labonte, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1068 S Woods Mill Rd Ste 220, Town And Country, MO 63017 Phone: 314-394-1379 Fax: 314-394-1377 |
Dr. Eric Scott Baggstrom, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1068 S Woods Mill Rd Ste 220, Town And Country, MO 63017 Phone: 314-394-1379 Fax: 314-394-1377 |