| Mr Ralph Jay Skitt, PA-C | |
|
2299 Technology Dr Ste 130, O Fallon, MO 63368-7342 | |
| (636) 695-0400 | |
| (636) 916-9456 |
| Full Name | Mr Ralph Jay Skitt |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 2 Years |
| Location | 2299 Technology Dr Ste 130, O Fallon, 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 |
|---|---|---|---|
| 1639866502 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 2024028012 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Lukes Hospital | Chesterfield, MO | Hospital |
| Barnes-jewish St Peters Hospital | Saint peters, MO | Hospital |
| Ssm Health Rehabilitation Hospital | Richmond heights, MO | Inpatient rehabilitation facility |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Physician Groups Lc | 3072421254 | 526 |
| Entity Name | Physician Groups LC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285664268 PECOS PAC ID: 3072421254 Enrollment ID: O20040220001157 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Ralph Jay Skitt, PA-C Po Box 959354, Saint Louis, MO 63195-2741 Ph: (636) 695-0400 | Mr Ralph Jay Skitt, PA-C 2299 Technology Dr Ste 130, O Fallon, MO 63368-7342 Ph: (636) 695-0400 |
Rebecca J. Smith, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 9209 Phoenix Village Pkwy, O Fallon, MO 63368 Phone: 636-561-4630 Fax: 636-561-4610 |
Riley B Busch, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1101 Highway K, O Fallon, MO 63366 Phone: 636-379-6363 |
Mrs. Krista N. Carter, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 7068 S Outer 364, O Fallon, MO 63368 Phone: 636-240-6100 Fax: 636-240-1182 |
James W Harris, CSFA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 7827 Town Square Ave Ste 104, O Fallon, MO 63368 Phone: 636-734-0386 |
Ms. Olivia Faeth Hasselfeld, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2 Progress Point Pkwy, Div Im Medical Oncology, O Fallon, MO 63368 Phone: 800-647-2098 Fax: 314-362-3192 |
Jessica D Blanke, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 7827 Highway N Ste 104, O Fallon, MO 63368 Phone: 636-377-1177 Fax: 636-377-1911 |
Erin Friesen, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2299 Technology Dr Ste 130, O Fallon, MO 63368 Phone: 636-695-0400 Fax: 636-916-9456 |