| Tracy M Riordan, MD | |
|
1254 Main St, Imperial, MO 63052-3861 | |
| (636) 741-3130 | |
| Not Available |
| Full Name | Tracy M Riordan |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 26 Years |
| Location | 1254 Main St, Imperial, 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 |
|---|---|---|---|
| 1124094362 | NPI | - | NPPES |
| 1124094362 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 2002013047 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Hospital St Louis | Saint louis, MO | Hospital |
| Mercy Hospital South | Saint louis, MO | Hospital |
| Mercy Hospital Jefferson | Festus, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Clinic East Communities | 7214827922 | 535 |
| Entity Name | Mercy Hospitals East Communities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851431738 PECOS PAC ID: 1658276811 Enrollment ID: O20031218000107 |
| Entity Name | Mercy Clinic East Communities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851335228 PECOS PAC ID: 7214827922 Enrollment ID: O20070521000006 |
| Mailing Address | Practice Location Address |
|---|---|
| Tracy M Riordan, MD 1254 Main Street, Imperial, MO 63052 Ph: (636) 741-3130 | Tracy M Riordan, MD 1254 Main St, Imperial, MO 63052-3861 Ph: (636) 741-3130 |
Dr. William Edwin Magee, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2975 Frisco Hill Rd, Imperial, MO 63052 Phone: 636-942-2489 Fax: 314-982-3486 | |
Dr. Celso Ferreira Rodrigues, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2674 Fox Run Dr, Imperial, MO 63052 Phone: 636-461-2711 |