| Melody Santos, MD | |
|
3 Park Pl, Swansea, IL 62226-2965 | |
| (618) 222-9244 | |
| (618) 222-9248 |
| Full Name | Melody Santos |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 3 Park Pl, Swansea, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487672903 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 2000146144 (Missouri) | Secondary |
| 208000000X | Pediatrics | (Illinois) | Primary |
| Entity Name | Ssm Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700966207 PECOS PAC ID: 6608776299 Enrollment ID: O20150929002491 |
| Mailing Address | Practice Location Address |
|---|---|
| Melody Santos, MD 7980 Clayton Rd, Suite 202, Saint Louis, MO 63117-1354 Ph: (314) 951-5368 | Melody Santos, MD 3 Park Pl, Swansea, IL 62226-2965 Ph: (618) 222-9244 |
Dr. Gregory T Garrison, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4941 Benchmark Centre Dr, Suite 100, Swansea, IL 62226 Phone: 618-624-9970 Fax: 618-624-9973 | |
Dr. Scott Robert Keller, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3 Park Pl, Swansea, IL 62226 Phone: 618-222-9244 Fax: 618-222-9248 | |
Lauren Lyvers Haukap, CPNP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4969 Benchmark Centre Dr Ste 100, Swansea, IL 62226 Phone: 618-235-2311 | |
Eleanor M Shaw, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4969 Benchmark Centre Dr, Suite 100, Swansea, IL 62226 Phone: 618-235-2311 Fax: 618-589-3335 | |
Dr. Rachel N Han, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4969 Benchmark Centre Dr Ste 100, Swansea, IL 62226 Phone: 618-235-2311 Fax: 618-589-3332 | |
Joseph Silhavy, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3 Park Pl, Swansea, IL 62226 Phone: 618-222-9244 Fax: 618-222-9248 |