| Mr Dennis L Quillen, CRNA | |
|
12303 Depaul Dr, Bridgeton, MO 63044 | |
| (314) 344-7049 | |
| (314) 344-7073 |
| Full Name | Mr Dennis L Quillen |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 45 Years |
| Location | 12303 Depaul Dr, Bridgeton, 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 |
|---|---|---|---|
| 1518958891 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN076589 (Missouri) | Primary |
| 367500000X | Nurse Anesthetist, Certified Registered | 076589 (Missouri) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ssm Depaul Health Center | Bridgeton, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Metro-west Anesthesia Group Inc | 2163329921 | 184 |
| Entity Name | Metro-west Anesthesia Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245427335 PECOS PAC ID: 2163329921 Enrollment ID: O20031218000563 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Dennis L Quillen, CRNA 12303 Depaul Dr, Bridgeton, MO 63044 Ph: (314) 344-7049 | Mr Dennis L Quillen, CRNA 12303 Depaul Dr, Bridgeton, MO 63044 Ph: (314) 344-7049 |
Mr. Gary D Clark, CRNA Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 12303 Depaul Drive, Bridgeton, MO 63044 Phone: 314-344-7049 Fax: 314-344-7073 | |
Amanda M Marshall, NP Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 12303 Depaul Dr., Bridgeton, MO 63044 Phone: 314-344-6169 Fax: 314-344-7997 | |
Mr. Thomas Mark Hentrich, RNFA Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 12303 Depaul Dr, Bridgeton, MO 63044 Phone: 314-344-6000 | |
Betty Marcella Hughes, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 3165 Mckelvey Rd, Bridgeton, MO 63044 Phone: 314-206-3900 | |
Brenna Kate Scott, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 12380 De Paul Dr, Bridgeton, MO 63044 Phone: 314-447-9700 | |
Cynthia Whiteside, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 3165 Mckelvey Rd, Suite 200, Bridgeton, MO 63044 Phone: 314-206-3900 Fax: 314-206-3490 | |
Ms. Cheryl S Cerutti, CRNA Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 12303 Delpaul Drive, Bridgeton, MO 63044 Phone: 314-344-7049 Fax: 314-344-7073 |