| Bridgeton Foot And Ankle Llc | |
|
12255 De Paul Dr, Ste. 470, Bridgeton, MO 63044-2510 | |
| (314) 739-8863 | |
| (314) 739-6448 |
| Full Name | Bridgeton Foot And Ankle Llc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 12255 De Paul Dr, Bridgeton, Missouri |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205975968 | NPI | - | NPPES |
| 2700030 | Other | MO | UHC |
| 480034196 | Other | MO | RR MEDICARD |
| 32B00000X | Other | MO | MEDICAID DME |
| 2784098 | Other | MO | UHC |
| P00419552 | Other | MO | RR MEDICARE |
| 303231500 | Medicaid | MO | |
| 300628401 | Medicaid | MO | |
| 310171750 | Other | MO | MEDICARE CPIN |
| 504595802 | Other | MO | MEDICAID GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | 000551 (Missouri) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Bridgeton Foot And Ankle Llc 12255 De Paul Dr, Ste. 470, Bridgeton, MO 63044-2510 Ph: (314) 739-8863 | Bridgeton Foot And Ankle Llc 12255 De Paul Dr, Ste. 470, Bridgeton, MO 63044-2510 Ph: (314) 739-8863 |
Christina M Hawthorne, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 12255 De Paul Dr, Ste 470, Bridgeton, MO 63044 Phone: 314-739-8863 Fax: 314-739-6448 | |
Christopher Louis Aquino, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 12303 De Paul Dr, Bridgeton, MO 63044 Phone: 314-344-6000 | |
Julia Dafforn, Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 12255 Depaul Drive, Ste 705, Bridgeton, MO 63044 Phone: 314-344-7545 | |
Dr. Anthony M Lombardo, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 12255 De Paul Dr, Suite 470, Bridgeton, MO 63044 Phone: 314-739-8863 Fax: 314-739-6448 | |
Aleksander Charles Ferbet, Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 12303 Depaul Dr, Bridgeton, MO 63044 Phone: 314-344-6000 | |
Dr. Hope Whitney Bante, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 12303 De Paul Dr, Bridgeton, MO 63044 Phone: 314-739-7100 |