| Ms Bethany Marie Brooks, PA | |
|
3015 N Ballas Rd, Dept Radiology, Saint Louis, MO 63131-2329 | |
| (314) 996-5170 | |
| (314) 996-4261 |
| Full Name | Ms Bethany Marie Brooks |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 5 Years |
| Location | 3015 N Ballas Rd, Saint Louis, 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 |
|---|---|---|---|
| 1760060586 | NPI | - | NPPES |
| 220097215 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 2021017924 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Phelps Health | Rolla, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Missouri Baptist Hospital Of Sullivan | 2668380148 | 40 |
| Entity Name | Washington University |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962442475 PECOS PAC ID: 9830008770 Enrollment ID: O20031204000987 |
| Entity Name | Phelps County Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891766051 PECOS PAC ID: 2860391158 Enrollment ID: O20040106000405 |
| Entity Name | Missouri Baptist Hospital of Sullivan |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295743169 PECOS PAC ID: 2668380148 Enrollment ID: O20060410000616 |
| Entity Name | Miracl LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205304300 PECOS PAC ID: 4587908041 Enrollment ID: O20181210003487 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Bethany Marie Brooks, PA Po Box 7412011, Chicago, IL 60674-2011 Ph: (314) 996-5170 | Ms Bethany Marie Brooks, PA 3015 N Ballas Rd, Dept Radiology, Saint Louis, MO 63131-2329 Ph: (314) 996-5170 |
Bryon Lucas Beck, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3009 N Ballas Rd, Building B, Suite 202, Saint Louis, MO 63131 Phone: 314-995-6893 |
Ms. Cheryl Anne Woolsey, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1 Barnes Jewish Hospital Plz, Div Im Medical Oncology, Saint Louis, MO 63110 Phone: 314-747-1171 Fax: 314-362-7086 |
Amanda Monteleone, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 621 S New Ballas Rd Ste 2015, Saint Louis, MO 63141 Phone: 314-251-1700 |
Taylor Nicole Melgar, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1 Jefferson Barracks Dr, Saint Louis, MO 63125 Phone: 314-652-4100 |
Kaitlyn Sturmer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10012 Kennerly Rd Ste 406, Saint Louis, MO 63128 Phone: 314-525-1224 Fax: 314-525-4957 |
Ms. Keeley Ferrell Ryan, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1201 S Grand Blvd, Saint Louis, MO 63104 Phone: 314-257-1320 |
Mr. Leslie Tharon Cranick, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 12345 W Bend Dr, Suite 200, Saint Louis, MO 63128 Phone: 314-843-8000 Fax: 314-843-3004 |