| Labonte Medical Group | |
|
1068 S Woods Mill Rd Ste 220 Town And Country MO 63017-8333 | |
| (314) 394-1379 | |
| (314) 394-1377 |
| Full Name | Labonte Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 1068 S Woods Mill Rd Ste 220, Town And Country, Missouri |
| Authorized Official Name and Position | Christopher T. Labonte (MD/OWNER) |
| Authorized Official Contact | 3143941379 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Labonte Medical Group 1068 S Woods Mill Rd Ste 220 Town And Country MO 63017-8333 Ph: (314) 394-1379 | Labonte Medical Group 1068 S Woods Mill Rd Ste 220 Town And Country MO 63017-8333 Ph: (314) 394-1379 |
| NPI Number | 1952409971 |
|---|---|
| Provider Enumeration Date | 09/21/2006 |
| Last Update Date | 09/24/2019 |
| Medicare PECOS PAC ID | 6002913761 |
|---|---|
| Medicare Enrollment ID | O20070515000376 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952409971 | NPI | - | NPPES |
| 504588906 | Medicaid | MO | |
| DF8249 | Other | MO | MEDICARE RR |
| 4920833 | Other | MO | CIGNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Christopher T Labonte |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093813099 PECOS PAC ID: 4385636166 Enrollment ID: I20040401000242 |
| Provider Name | Eric S Baggstrom |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487677308 PECOS PAC ID: 8628010998 Enrollment ID: I20050526000232 |
| Provider Name | Gary P Quillen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861895013 PECOS PAC ID: 3173745783 Enrollment ID: I20141117000281 |
| Provider Name | Jodi Glaser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205202538 PECOS PAC ID: 5193031334 Enrollment ID: I20150902001013 |
| Provider Name | Patricia H Huebner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821597840 PECOS PAC ID: 5799046322 Enrollment ID: I20180222002635 |