| Nikita Wagle, MD | |
|
12380 De Paul Dr, Bridgeton, MO 63044-2511 | |
| (314) 447-9700 | |
| Not Available |
| Full Name | Nikita Wagle |
|---|---|
| Gender | Female |
| Speciality | Physical Medicine And Rehabilitation |
| Experience | 7 Years |
| Location | 12380 De Paul Dr, Bridgeton, 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 |
|---|---|---|---|
| 1932761095 | NPI | - | NPPES |
| 200131311 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 2023033486 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ssm Depaul Health Center | Bridgeton, MO | Hospital |
| St Louis University Hospital | Saint louis, MO | Hospital |
| Ssm St Joseph Hospital West | Lake saint louis, 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 |
|---|---|---|
| Post-acute Physicians Of Missouri, Pc | 6002121126 | 12 |
| Entity Name | Post-acute Physicians Of Missouri, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164818290 PECOS PAC ID: 6002121126 Enrollment ID: O20150819007678 |
| Mailing Address | Practice Location Address |
|---|---|
| Nikita Wagle, MD 1776 Woodstead Ct Ste 208, The Woodlands, TX 77380-1480 Ph: (281) 724-3050 | Nikita Wagle, MD 12380 De Paul Dr, Bridgeton, MO 63044-2511 Ph: (314) 447-9700 |
Syed A Abdul Khader, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 12255 De Paul Dr Ste 120, Bridgeton, MO 63044 Phone: 314-291-7900 | |
Charles Gonzales, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 12380 De Paul Dr, Bridgeton, MO 63044 Phone: 877-749-7428 Fax: 512-628-3314 | |
Christopher William Jones, Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 12115 Bridgeton Sq, Bridgeton, MO 63044 Phone: 314-291-8380 Fax: 314-291-7356 |