| Terry J Weis, DO | |
|
12266 Depaul Dr, 110, Bridgeton, MO 63044-2514 | |
| (314) 291-7900 | |
| (314) 291-7914 |
| Full Name | Terry J Weis |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery |
| Location | 12266 Depaul Dr, Bridgeton, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154347995 | NPI | - | NPPES |
| 240975904 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | R5197 (Missouri) | Primary |
| Entity Name | Ssm Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700966207 PECOS PAC ID: 6608776299 Enrollment ID: O20040729001034 |
| Mailing Address | Practice Location Address |
|---|---|
| Terry J Weis, DO 16582 Baxter Forest Ridge Dr, Chesterfield, MO 63005-4662 Ph: (314) 291-7900 | Terry J Weis, DO 12266 Depaul Dr, 110, Bridgeton, MO 63044-2514 Ph: (314) 291-7900 |
Crystel D Knierim, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 12349 De Paul Dr Ste 100, Bridgeton, MO 63044 Phone: 314-291-7900 | |
Fallon H Maylack, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 12255 De Paul Dr, Ste 845, Bridgeton, MO 63044 Phone: 314-884-6320 Fax: 314-884-6321 | |
Randall D Roush, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 12266 Depaul Dr, 110, Bridgeton, MO 63044 Phone: 314-291-7900 Fax: 314-291-7914 | |
Dr. Ramin Matthew Lalezari, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 12303 De Paul Dr, Bridgeton, MO 63044 Phone: 314-344-6000 | |
Katherine A Burns, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 12349 De Paul Dr Ste 100, Bridgeton, MO 63044 Phone: 314-291-7900 | |
William C Schroer, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 12349 De Paul Dr Ste 100, Bridgeton, MO 63044 Phone: 314-291-7900 |