| Danielle Brady, | |
|
12255 De Paul Dr Ste 770, Bridgeton, MO 63044-2515 | |
| (314) 474-7366 | |
| Not Available |
| Full Name | Danielle Brady |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 2 Years |
| Location | 12255 De Paul Dr Ste 770, Bridgeton, 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 |
|---|---|---|---|
| 1417704438 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 2024027957 (Missouri) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Arch Dermatology Institute, Llc | 6204269889 | 3 |
| Entity Name | Arch Dermatology Institute, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427604016 PECOS PAC ID: 6204269889 Enrollment ID: O20191212001883 |
| Mailing Address | Practice Location Address |
|---|---|
| Danielle Brady, 41 W Rose Ave, Webster Groves, MO 63119-4615 Ph: (573) 310-3165 | Danielle Brady, 12255 De Paul Dr Ste 770, Bridgeton, MO 63044-2515 Ph: (314) 474-7366 |
Mr. Blessing Kudakwashe Tupiri, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12266 De Paul Dr Ste 205, Bridgeton, MO 63044 Phone: 314-647-8269 |
Laura Ann Fischer, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12349 Depaul Drive, Suite 100, Bridgeton, MO 63044 Phone: 314-291-7900 |
Spencer Blondeaux, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12409 Saint Charles Rock Rd, Bridgeton, MO 63044 Phone: 636-429-0999 |
Daniel Zackary Souvannarath, Physician Assistant Medicare: Medicare Enrolled Practice Location: 12266 De Paul Dr Ste 310, Bridgeton, MO 63044 Phone: 314-209-5171 |
Aida Junuzovic, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12266 Depaul Dr Suite 100, Bridgeton, MO 63044 Phone: 314-738-2770 |
Heather Ann Schmitz, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12266 De Paul Dr Ste 205, Bridgeton, MO 63044 Phone: 314-218-2300 |
Caroline Rose Hoffman, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12255 Depaul Drive, Suite 420, Bridgeton, MO 63044 Phone: 314-298-3893 Fax: 314-851-4408 |