| Ms Bessevelyn M Tables, MD | |
|
1225 Graham Rd Ste C-1340, Florissant, MO 63031-8019 | |
| (314) 953-6801 | |
| Not Available |
| Full Name | Ms Bessevelyn M Tables |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 1225 Graham Rd Ste C-1340, Florissant, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225291248 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2008016715 (Missouri) | Primary |
| Entity Name | Fast Track Medical Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568770626 PECOS PAC ID: 2062693336 Enrollment ID: O20110218000623 |
| Entity Name | Emergency Physicians Of St Lukes Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215359815 PECOS PAC ID: 3779714142 Enrollment ID: O20140327001965 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Bessevelyn M Tables, MD 670 Mason Ridge Center Dr Ste 300, Saint Louis, MO 63141-8573 Ph: (314) 456-7168 | Ms Bessevelyn M Tables, MD 1225 Graham Rd Ste C-1340, Florissant, MO 63031-8019 Ph: (314) 953-6801 |
William Stephen Knapp, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2137 Charbonier Rd Ste B, Florissant, MO 63031 Phone: 314-831-0181 Fax: 314-851-4471 | |
Dr. Saima Ahmad, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1025 Dunn Rd, Florissant, MO 63031 Phone: 314-736-1333 Fax: 314-736-1336 | |
Doris J Tribune Brown, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1225 Graham Rd, Suite 2320c, Florissant, MO 63031 Phone: 314-831-6883 Fax: 314-831-3716 | |
Dr. Mel Emiel Lucas, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2175 Charbonier Rd, Florissant, MO 63031 Phone: 314-831-5999 Fax: 314-831-9434 | |
Dr. Daniel Robert Herleth, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1225 Graham Rd Ste C-2320, Florissant, MO 63031 Phone: 314-953-6801 | |
Dr. Kwabena Owusu Dekyi, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 1225 Graham Rd Ste C-2320, Florissant, MO 63031 Phone: 314-953-6801 Fax: 314-953-6819 |