| Vincent P Fortunato, MD | |
|
2325 Dougherty Ferry Rd Ste 104, Saint Louis, MO 63122-3356 | |
| (148) 216-8893 | |
| (314) 821-1887 |
| Full Name | Vincent P Fortunato |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 41 Years |
| Location | 2325 Dougherty Ferry Rd Ste 104, Saint Louis, Missouri |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174508436 | NPI | - | NPPES |
| 110080662 | Other | MO | RAILROAD MEDICARE |
| 206760100 | Medicaid | MO | |
| 431650657 | Other | MO | CIGNA HEALTHCARE |
| 21532 | Other | MO | BLUE CROSS |
| 9499441 | Other | MO | UNITED HEALTHCARE |
| 173933 | Other | MO | HEALTHLINK |
| 4084340 | Other | MO | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | R1J64 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Home Health | Saint louis, MO | Home health agency |
| St Luke's Home Health Services | Chesterfield, MO | Home health agency |
| St Lukes Hospital | Chesterfield, MO | Hospital |
| St Luke's Des Peres Hospital | Saint louis, MO | Hospital |
| Ssm St Clare Health Center | Fenton, MO | Hospital |
| Missouri Baptist Medical Center | Town and country, MO | Hospital |
| Mercy Hospital South | Saint louis, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Premier Medical Physicians Llc | 6507129699 | 5 |
| Entity Name | Ste Genevieve County Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073587655 PECOS PAC ID: 3274432802 Enrollment ID: O20040312000516 |
| Entity Name | Premier Medical Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417459207 PECOS PAC ID: 6507129699 Enrollment ID: O20180425000511 |
| Mailing Address | Practice Location Address |
|---|---|
| Vincent P Fortunato, MD 10004 Kennerly Rd, Suite #255a, Saint Louis, MO 63128-2141 Ph: (314) 843-5140 | Vincent P Fortunato, MD 2325 Dougherty Ferry Rd Ste 104, Saint Louis, MO 63122-3356 Ph: (148) 216-8893 |
Conor Mccartney, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 915 N Grand Blvd, Saint Louis, MO 63106 Phone: 314-652-4100 | |
Dr. Faris Adam Bakeer, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Barnes Jewish Hospital Plz, Div Im Hospitalist, Saint Louis, MO 63110 Phone: 314-362-1700 Fax: 314-362-9878 | |
Dr. Rehan Rais, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Barnes Jewish Hospital Plz, Div Im Hospitalist, Saint Louis, MO 63110 Phone: 314-362-1700 Fax: 314-362-9878 | |
Nathan Farkas, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1 Barnes Jew Hosp Plz, Saint Louis, MO 63110 Phone: 314-362-1930 | |
Dr. Randy Olivier Laine, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Barnes Jewish Hospital Plz, Div Im Hospitalist, Saint Louis, MO 63110 Phone: 314-362-1700 Fax: 314-362-9878 | |
Dr. Erin Leigh Dyer, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4901 Forest Park Ave, Div Im General Med, Ste 241, Saint Louis, MO 63108 Phone: 314-362-5060 Fax: 314-362-6959 | |
Nakul Shah, Internal Medicine Medicare: Medicare Enrolled Practice Location: 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110 Phone: 314-362-5000 |