| Shannon J Potter, MD | |
|
3466 Mckelvey Rd, Bridgeton, MO 63044-2533 | |
| (314) 463-6950 | |
| Not Available |
| Full Name | Shannon J Potter |
|---|---|
| Gender | Female |
| Speciality | Obstetrics/gynecology |
| Experience | 15 Years |
| Location | 3466 Mckelvey Rd, 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 |
|---|---|---|---|
| 1700106853 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 2010017998 (Missouri) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Missouri Baptist Medical Center | Town and country, MO | Hospital |
| Christian Hospital Northeast | Saint louis, MO | Hospital |
| Ssm Depaul Health Center | Bridgeton, MO | Hospital |
| St Lukes Hospital | Chesterfield, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Physician Groups Lc | 3072421254 | 455 |
| Entity Name | Physician Groups Lc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285664268 PECOS PAC ID: 3072421254 Enrollment ID: O20040220001157 |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon J Potter, MD 660 Mason Ridge Center Dr Ste 300, Saint Louis, MO 63141-8512 Ph: (314) 448-3791 | Shannon J Potter, MD 3466 Mckelvey Rd, Bridgeton, MO 63044-2533 Ph: (314) 463-6950 |
Sarah Kennedy, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 3466 Mckelvey Rd, Bridgeton, MO 63044 Phone: 314-344-8100 | |
Yoram Hahn, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 12255 De Paul Dr, Ste 320, Bridgeton, MO 63044 Phone: 314-344-8100 Fax: 314-344-8102 | |
Dr. Leslie A Scott, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 12277 De Paul Dr Ste 305, Bridgeton, MO 63044 Phone: 314-344-7585 | |
Stephanie Lee Cogan-levy, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 12277 De Paul Dr, Ste 501s, Bridgeton, MO 63044 Phone: 314-739-8844 Fax: 314-739-5431 | |
Dr. Rochelle Gene Catus, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 12255 De Paul Dr, Ste 765, Bridgeton, MO 63044 Phone: 314-298-8646 Fax: 314-291-8646 | |
Dr. Hamnah Tabassum Siddiqui, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 12277 De Paul Dr Ste 305, Bridgeton, MO 63044 Phone: 314-344-7585 | |
Dr. Anne Piche-radley, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 12255 Depaul Drive, Suite 360, Bridgeton, MO 63044 Phone: 314-291-2975 Fax: 314-291-2783 |