| Missouri Medical Partners Llc | |
|
1015 Bowles Ave Fenton MO 63026-2394 | |
| (314) 525-1000 | |
| (636) 333-4510 |
| Full Name | Missouri Medical Partners Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1015 Bowles Ave, Fenton, Missouri |
| Authorized Official Name and Position | Vladimir Milosavljevic (OWNER) |
| Authorized Official Contact | 3144840842 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Missouri Medical Partners Llc Po Box 504683 Saint Louis MO 63150-0001 Ph: (636) 333-4500 | Missouri Medical Partners Llc 1015 Bowles Ave Fenton MO 63026-2394 Ph: (314) 525-1000 |
| NPI Number | 1720248065 |
|---|---|
| Provider Enumeration Date | 06/10/2008 |
| Last Update Date | 12/31/2023 |
| Medicare PECOS PAC ID | 3779659222 |
|---|---|
| Medicare Enrollment ID | O20080905000646 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720248065 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 2003015147 (Missouri) | Primary |
| Provider Name | Vladimir Milo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609848852 PECOS PAC ID: 2466344072 Enrollment ID: I20040329000237 |
| Provider Name | Sreenu Ada |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134171200 PECOS PAC ID: 1153213459 Enrollment ID: I20040329001627 |
| Provider Name | Dale T Furukawa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326060831 PECOS PAC ID: 3072680149 Enrollment ID: I20080916000497 |
| Provider Name | Anis Berhil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811283609 PECOS PAC ID: 4587802293 Enrollment ID: I20141017000861 |
Ssm Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1011 Bowles Ave, Suite 300, Fenton, MO 63026 Phone: 636-496-5000 Fax: 636-496-5045 | |
Rockwood Family Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1747 Smizer Station Rd, Suite 3b, Fenton, MO 63026 Phone: 636-529-9595 Fax: 636-529-9494 | |
Covington Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1747 Smizer Station Rd Ste 3a, Fenton, MO 63026 Phone: 636-225-8855 | |
Physicians Health Group Medical Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 960 S. Highway Dr, Fenton, MO 63026 Phone: 636-305-2000 Fax: 314-584-7007 | |
Dr. Petre I Anguelinin, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1015 Bowles Ave, Fenton, MO 63026 Phone: 636-207-0277 | |
Ssm Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1011 Bowles Ave, Suite 300, Fenton, MO 63026 Phone: 636-496-5000 Fax: 636-496-5055 | |
Hcr Health Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1747 Smizer Station Rd, Fenton, MO 63026 Phone: 636-230-6044 |