| Shannon Michelle Root Bast, PA | |
|
12266 De Paul Dr Ste 205, Bridgeton, MO 63044-2514 | |
| (314) 218-2300 | |
| Not Available |
| Full Name | Shannon Michelle Root Bast |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 6 Years |
| Location | 12266 De Paul Dr Ste 205, 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 |
|---|---|---|---|
| 1760946669 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 2020023147 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ssm St Clare Health Center | Fenton, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ssm Medical Group Inc | 6608776299 | 500 |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Michelle Root Bast, PA Po Box 955534, Saint Louis, MO 63195-0001 Ph: () - | Shannon Michelle Root Bast, PA 12266 De Paul Dr Ste 205, Bridgeton, MO 63044-2514 Ph: (314) 218-2300 |
Mr. Blessing Kudakwashe Tupiri, PA Physician Assistant Medicare: May Accept 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 | |
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: Not Enrolled in Medicare Practice Location: 12255 Depaul Drive, Suite 420, Bridgeton, MO 63044 Phone: 314-298-3893 Fax: 314-851-4408 | |
Mrs. Amber Renee Johnson, PAC MMS Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 12255 De Paul Dr, Suite 460, Bridgeton, MO 63044 Phone: 314-770-1844 Fax: 314-770-1843 |