| St. Luke's Family Medicine - Maryland Heights Llc | |
|
915 Fee Fee Rd Maryland Heights MO 63043-3801 | |
| (314) 770-1777 | |
| (314) 590-5952 |
| Full Name | St. Luke's Family Medicine - Maryland Heights Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 915 Fee Fee Rd, Maryland Heights, Missouri |
| Authorized Official Name and Position | Darren Haskell (VP PHYSICIAN NETWORK) |
| Authorized Official Contact | 3142056444 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Luke's Family Medicine - Maryland Heights Llc 915 Fee Fee Rd Maryland Heights MO 63043-3801 Ph: (636) 685-7804 | St. Luke's Family Medicine - Maryland Heights Llc 915 Fee Fee Rd Maryland Heights MO 63043-3801 Ph: (314) 770-1777 |
| NPI Number | 1902197767 |
|---|---|
| Provider Enumeration Date | 04/28/2011 |
| Last Update Date | 09/26/2024 |
| Medicare PECOS PAC ID | 5597942193 |
|---|---|
| Medicare Enrollment ID | O20110608000289 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902197767 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Galina Rivkin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285675793 PECOS PAC ID: 7911956545 Enrollment ID: I20050120000568 |
Galina Rivkin Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12131 Dorsett Road, Suite 123, Maryland Heights, MO 63043 Phone: 314-770-1777 | |