| Dr Jennifer Lee Demertzis, MD | |
|
232 S Woods Mill Rd, Chesterfield, MO 63017-3406 | |
| (314) 434-1500 | |
| (314) 548-4748 |
| Full Name | Dr Jennifer Lee Demertzis |
|---|---|
| Gender | Female |
| Speciality | Diagnostic Radiology |
| Experience | 22 Years |
| Location | 232 S Woods Mill Rd, Chesterfield, 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 |
|---|---|---|---|
| 1245326966 | NPI | - | NPPES |
| ENROLLED | Medicaid | IL | |
| 1245326966 | Medicaid | MO | |
| 2008007442 | Other | MO | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 2008007442 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Lukes Hospital | Chesterfield, MO | Hospital |
| Mercy Hospital St Louis | Saint louis, MO | Hospital |
| Barnes Jewish Hospital | Saint louis, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Diagnostic Imaging Associates Ltd | 9638064942 | 18 |
| Entity Name | Diagnostic Imaging Associates Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033142146 PECOS PAC ID: 9638064942 Enrollment ID: O20040217000118 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jennifer Lee Demertzis, MD 13209 Corporate Exchange Dr, Bridgeton, MO 63044-3721 Ph: (314) 705-1602 | Dr Jennifer Lee Demertzis, MD 232 S Woods Mill Rd, Chesterfield, MO 63017-3406 Ph: (314) 434-1500 |
Dr. James Z. Chen, MD Radiology Medicare: Medicare Enrolled Practice Location: 14014 Camberra Ct, Chen's Radiation, Chesterfield, MO 63017 Phone: 314-469-6893 | |
Peter Holtz, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 232 S Woods Mill Rd, Chesterfield, MO 63017 Phone: 314-205-6100 Fax: 314-878-5437 | |
Dr. Charles Garvin, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 232 S Woods Mill Rd, Chesterfield, MO 63017 Phone: 314-205-6100 Fax: 314-878-5437 | |
Dr. Robert Kanterman, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 232 S Woods Mill Rd, Chesterfield, MO 63017 Phone: 314-205-6100 Fax: 314-878-5437 | |
Dr. Naris Rujanavech, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 232 S Woods Mill Rd, Chesterfield, MO 63017 Phone: 314-205-6100 Fax: 314-878-5437 | |
Michael J Stadnyk, M. D. Radiology Medicare: May Accept Medicare Assignments Practice Location: 36 Chesterfield Lake Road, Chesterfield, MO 63005 Phone: 573-334-6071 Fax: 573-334-4739 |