| Terri Charisse Coble, MD | |
|
199 N Florissant Rd, Ferguson, MO 63135-1976 | |
| (314) 449-9640 | |
| (314) 449-9642 |
| Full Name | Terri Charisse Coble |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 36 Years |
| Location | 199 N Florissant Rd, Ferguson, 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 |
|---|---|---|---|
| 1497832224 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 2010018988 (Missouri) | Primary |
| 207R00000X | Internal Medicine | 00G775550 (California) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Carestl Health | 1557269289 | 20 |
| Entity Name | Carestl Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376685529 PECOS PAC ID: 1557269289 Enrollment ID: O20031219000441 |
| Mailing Address | Practice Location Address |
|---|---|
| Terri Charisse Coble, MD 102 Woodmont Blvd Ste 600, Nashville, TN 37205-5250 Ph: (888) 987-1151 | Terri Charisse Coble, MD 199 N Florissant Rd, Ferguson, MO 63135-1976 Ph: (314) 449-9640 |
Chukiat Tansuwan, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 40 N Florissant Rd, Ferguson, MO 63135 Phone: 314-521-1302 Fax: 314-521-5120 | |
Dr. Donald Allen Blum, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 40 N Florissant Rd, Ferguson, MO 63135 Phone: 314-521-1302 Fax: 314-521-5120 | |
Larry C Buck Ii, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 199 N Florissant Rd, Ferguson, MO 63135 Phone: 314-449-9640 Fax: 314-449-9642 |