| Mr Randall C Speck, MD | |
|
10010 Kennerly Rd, Saint Louis, MO 63128-2106 | |
| (314) 317-0600 | |
| (314) 317-0606 |
| Full Name | Mr Randall C Speck |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 45 Years |
| Location | 10010 Kennerly Rd, Saint Louis, Missouri |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912954033 | NPI | - | NPPES |
| 1912954033 | Medicaid | MO |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Hospital South | Saint louis, MO | Hospital |
| Mercy Hospital Jefferson | Festus, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Clinic Adult Critical Care, Llc | 3779512041 | 52 |
| Entity Name | Mercy Clinic Adult Critical Care, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730119421 PECOS PAC ID: 3779512041 Enrollment ID: O20050808000024 |
| Entity Name | Cep America Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619332046 PECOS PAC ID: 6608056171 Enrollment ID: O20150312000325 |
| Entity Name | Southeastern Physician Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083835441 PECOS PAC ID: 0042307852 Enrollment ID: O20160809000235 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Randall C Speck, MD 10010 Kennerly Rd, Saint Louis, MO 63128-2106 Ph: (314) 525-1906 | Mr Randall C Speck, MD 10010 Kennerly Rd, Saint Louis, MO 63128-2106 Ph: (314) 317-0600 |
Sean Oliver Cavanaugh, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 660 S Euclid Ave # 8072, Washington University Emergency Medicine, Saint Louis, MO 63110 Phone: 314-362-9177 | |
John Verhey, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1 Barnes Jew Hosp Plz, Saint Louis, MO 63110 Phone: 314-362-9177 | |
Dr. Mackenzie Ann Mcknight, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1 Barnes Jew Hosp Plz, Saint Louis, MO 63110 Phone: 314-362-9177 | |
Nagla Abdelmalek, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 915 N Grand Blvd, Saint Louis, MO 63106 Phone: 314-652-4100 | |
Dr. Jose I Alvarez, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 6150 Oakland Ave, Saint Louis, MO 63139 Phone: 314-768-3090 Fax: 314-768-3031 | |
Rahul Gupta, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 10010 Kennerly Rd, Saint Louis, MO 63128 Phone: 314-525-1906 | |
Dr. Opeolu Makanju Adeoye, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Barnes Jewish Hospital Plz, Dept Emergency Med, Saint Louis, MO 63110 Phone: 314-362-9123 Fax: 314-362-0478 |