| Stacey A Mormol, CRNA | |
|
1015 Bowles Ave, Fenton, MO 63026-2394 | |
| (636) 496-2000 | |
| Not Available |
| Full Name | Stacey A Mormol |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 15 Years |
| Location | 1015 Bowles Ave, Fenton, 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 |
|---|---|---|---|
| 1083933626 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 123598 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ssm Depaul Health Center | Bridgeton, MO | Hospital |
| Ssm St Clare Health Center | Fenton, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Metro-west Anesthesia Group Inc | 2163329921 | 184 |
| Entity Name | Metro-west Anesthesia Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245427335 PECOS PAC ID: 2163329921 Enrollment ID: O20031218000563 |
| Mailing Address | Practice Location Address |
|---|---|
| Stacey A Mormol, CRNA 13515 Barrett Parkway Dr Ste 170, Ballwin, MO 63021-5870 Ph: (314) 775-2816 | Stacey A Mormol, CRNA 1015 Bowles Ave, Fenton, MO 63026-2394 Ph: (636) 496-2000 |
Dr. Michael Scott Boedefeld, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1055 Bowles Ave Ste 202, Fenton, MO 63026 Phone: 636-386-7222 Fax: 636-386-7810 | |
Marlayna F Schaffer, CRNA Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1015 Bowles Ave, Fenton, MO 63026 Phone: 636-496-2000 | |
Dr. Cyrene D Grothaus-day, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1378 Mosswoods Dr, Fenton, MO 63026 Phone: 636-861-1676 |