| Stacy Gittel Blum, DO | |
|
1060 Meyer Rd, Wentzville, MO 63385-3800 | |
| (314) 230-1500 | |
| (314) 230-1122 |
| Full Name | Stacy Gittel Blum |
|---|---|
| Gender | Female |
| Speciality | Dermatology |
| Experience | 10 Years |
| Location | 1060 Meyer Rd, Wentzville, 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 |
|---|---|---|---|
| 1952757007 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 2020010791 (Missouri) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Yoon Dermatology, Llc | 5799101465 | 8 |
| Entity Name | Pike County Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205837218 PECOS PAC ID: 8123015518 Enrollment ID: O20050214000278 |
| Entity Name | Pike County Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124030424 PECOS PAC ID: 8123015518 Enrollment ID: O20050407000376 |
| Entity Name | Yoon Dermatology, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811510886 PECOS PAC ID: 5799101465 Enrollment ID: O20200812003384 |
| Mailing Address | Practice Location Address |
|---|---|
| Stacy Gittel Blum, DO 1060 Meyer Rd, Wentzville, MO 63385-3800 Ph: (314) 230-1500 | Stacy Gittel Blum, DO 1060 Meyer Rd, Wentzville, MO 63385-3800 Ph: (314) 230-1500 |
Brenley Deters, PA-C Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1060 Meyer Rd, Wentzville, MO 63385 Phone: 314-230-1500 | |
Jaeyoung Yoon, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1060 Meyer Rd, Wentzville, MO 63385 Phone: 314-230-1500 Fax: 314-230-1122 | |
Dr. Lindsey Graviett, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1060 Meyer Rd, Wentzville, MO 63385 Phone: 314-230-1500 Fax: 314-230-1122 | |
Dr. Omar W Jassim, MD, PHD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1060 Meyer Rd, Wentzville, MO 63385 Phone: 314-230-1500 Fax: 314-230-1122 | |
Dr. Kyle J Eash, M.D. PH.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1603 Wentzville Pkwy Ste 123, Wentzville, MO 63385 Phone: 636-695-0300 Fax: 636-695-0301 |