| Trevor C Axford, MD | |
|
1035 Bellevue Ave Ste 500, Saint Louis, MO 63117-1843 | |
| (314) 647-8269 | |
| (314) 646-1700 |
| Full Name | Trevor C Axford |
|---|---|
| Gender | Male |
| Speciality | Thoracic Surgery |
| Experience | 39 Years |
| Location | 1035 Bellevue Ave Ste 500, Saint Louis, Missouri |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528094224 | NPI | - | NPPES |
| 205838600 | Medicaid | MO |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Clinic Joplin Llc | 0547300196 | 238 |
| Lake Regional Medical Management Inc | 3577467323 | 45 |
| Wiregrass Clinic Llc | 2860662491 | 62 |
| Entity Name | Lake Regional Medical Management Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639134158 PECOS PAC ID: 3577467323 Enrollment ID: O20031122000076 |
| Entity Name | Lake Regional Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053581454 PECOS PAC ID: 9133026776 Enrollment ID: O20070511000147 |
| Entity Name | Mercy Clinic Joplin Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215264817 PECOS PAC ID: 0547300196 Enrollment ID: O20091218000092 |
| Mailing Address | Practice Location Address |
|---|---|
| Trevor C Axford, MD Po Box 955534 Ste 500, Saint Louis, MO 63195-1845 Ph: () - | Trevor C Axford, MD 1035 Bellevue Ave Ste 500, Saint Louis, MO 63117-1843 Ph: (314) 647-8269 |
Masaya Hirayama, Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 1800 S Brentwood Blvd Apt 213, Saint Louis, MO 63144 Phone: 314-368-2002 | |
Dr. Sudhan Nagarajan, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 1 Barnes Jewish Hospital Plz, Div Surg Ct Adult Cardio, Saint Louis, MO 63110 Phone: 314-362-7260 Fax: 866-272-2816 | |
Dr. Kunal D Kotkar, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 4921 Parkview Pl, Div Surg Ct Adult Cardio, Ste 8a, Saint Louis, MO 63110 Phone: 314-362-7260 Fax: 866-272-2816 | |
Michael Mauney, Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 3023 N Ballas Rd Ste 150d, Saint Louis, MO 63131 Phone: 314-996-5287 Fax: 314-432-6068 | |
John Codd, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 126 Southarm Dr, Saint Louis, MO 63122 Phone: 314-822-1938 Fax: 314-698-2838 | |
Mayank Rajanikant Patel, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 915 N Grand Blvd, Saint Louis, MO 63106 Phone: 314-652-4100 | |
Dr. George A Patterson, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 4500 Forest Park Ave, Div Surg Ct Adult Thoracic, 5th Fl, Saint Louis, MO 63108 Phone: 314-362-7260 Fax: 866-272-2816 |