| Nancy J Phillips, MD | |
|
1402 S Grand, St Louis, MO 63110 | |
| (314) 577-8693 | |
| (314) 268-5478 |
| Full Name | Nancy J Phillips |
|---|---|
| Gender | Female |
| Speciality | Pathology |
| Experience | 41 Years |
| Location | 1402 S Grand, St Louis, 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 |
|---|---|---|---|
| 1073527552 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0101X | Pathology - Anatomic Pathology | R8H53 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Louis University Hospital | Saint louis, MO | Hospital |
| Ssm Health St Mary's Hospital - St Louis | Richmond heights, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ssm Health Care Group | 0143608372 | 802 |
| Entity Name | Ssm Health Care Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306589544 PECOS PAC ID: 0143608372 Enrollment ID: O20220531002655 |
| Mailing Address | Practice Location Address |
|---|---|
| Nancy J Phillips, MD 1402 S Grand Blvd, Saint Louis, MO 63104-1004 Ph: (314) 977-4606 | Nancy J Phillips, MD 1402 S Grand, St Louis, MO 63110 Ph: (314) 577-8693 |
William Henry Boyce, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 525 Couch Ave, St Louis, MO 63122 Phone: 314-721-1531 Fax: 314-822-6316 | |
Stephen E Godfrey, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 10010 Kennerly Road, St Louis, MO 63128 Phone: 314-525-4345 Fax: 314-525-4354 | |
Edward Stephen Bolesta, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1402 S Grand, St Louis, MO 63104 Phone: 314-577-8000 | |
Richard G Hoover, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 1402 S Grand, St Louis, MO 63110 Phone: 314-577-8693 Fax: 314-268-5478 | |
Leonard E Grosso, MD PHD Pathology Medicare: Not Enrolled in Medicare Practice Location: 1402 S Grand, St Louis, MO 63110 Phone: 314-577-8693 Fax: 314-268-5478 | |
Michael A Graham, Pathology Medicare: Not Enrolled in Medicare Practice Location: 1402 S Grand, St Louis, MO 63110 Phone: 314-577-8693 Fax: 314-268-5478 |