| 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 (cardiothoracic Vascular Surgery) | 
| Location | 1035 Bellevue Ave Ste 500, Saint Louis, Missouri | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1528094224 | NPI | - | NPPES | 
| 205838600 | Medicaid | MO | 
| 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  | 
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  | |
Dr. William R.m. Ogle, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 1035 Bellevue Ave Ste 500, Saint Louis, MO 63117 Phone: 314-647-8269  |