| Steven J Judge, MD | |
|
1125 Madison St, Jefferson Cty, MO 65101-5227 | |
| (573) 632-5436 | |
| Not Available |
| Full Name | Steven J Judge |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 1125 Madison St, Jefferson Cty, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144261736 | NPI | - | NPPES |
| 000848449A | Medicaid | GA | |
| 009913050 | Medicaid | AL | |
| 009941583 | Medicaid | AL | |
| 3845256 | Medicaid | TN | |
| 3126986 | Other | TN | BLUE CROSS |
| P00233188 | Other | MO | RAILROAD MEDICARE |
| 000848449B | Medicaid | GA | |
| 3126988 | Other | TN | BLUE CROSS |
| 3845255 | Medicaid | TN | |
| P00269092 | Other | TN | RAILROAD MEDICARE |
| 203290838 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 31777 (Tennessee) | Primary |
| Entity Name | Mercy Hospital South |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568481984 PECOS PAC ID: 8426962556 Enrollment ID: O20031113000592 |
| Entity Name | Mercy Hospitals East Communities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427098169 PECOS PAC ID: 1658276811 Enrollment ID: O20031209000789 |
| Entity Name | Mercy Hospitals East Communities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285664177 PECOS PAC ID: 3779479019 Enrollment ID: O20040224001164 |
| Entity Name | Mercy Hospital Jefferson |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508859661 PECOS PAC ID: 1254248271 Enrollment ID: O20050518000926 |
| Entity Name | Southeastern Emergency Physicians Of Memphis Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437105277 PECOS PAC ID: 5395643209 Enrollment ID: O20060711000434 |
| Entity Name | Mercy Hospital Lincoln |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962808733 PECOS PAC ID: 5193040020 Enrollment ID: O20150623002541 |
| Mailing Address | Practice Location Address |
|---|---|
| Steven J Judge, MD Po Box 633819, Cincinnati, OH 45263-0001 Ph: (865) 292-3000 | Steven J Judge, MD 1125 Madison St, Jefferson Cty, MO 65101-5227 Ph: (573) 632-5436 |