| Ssm Depaul Medical Group | |
| 
					1551 Wall St Suite 400 Saint Charles MO 63303-3539  | |
| (636) 669-2420 | |
| (636) 669-2401 | 
| Full Name | Ssm Depaul Medical Group | 
|---|---|
| Speciality | Podiatrist | 
| Location | 1551 Wall St, Saint Charles, Missouri | 
| Authorized Official Name and Position | Laura Pullum (DIRECTOR) | 
| Authorized Official Contact | 6366692434 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Ssm Depaul Medical Group 1551 Wall St Suite 310 Saint Charles MO 63303-3539 Ph: (636) 669-2268  | Ssm Depaul Medical Group 1551 Wall St Suite 400 Saint Charles MO 63303-3539 Ph: (636) 669-2420  | 
| NPI Number | 1891123477 | 
|---|---|
| Provider Enumeration Date | 10/17/2013 | 
| Last Update Date | 10/17/2013 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1891123477 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Secondary | 
| 213E00000X | Podiatrist | 2004019662 (Missouri) | Primary | 
Compass Health, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2645 Muegge Rd, Saint Charles, MO 63303 Phone: 844-853-8937  | |
Compass Health, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3075 New Town Blvd, Saint Charles, MO 63301 Phone: 888-403-1071  | |
Visionary Cts Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1551 Wall St Ste 120, Saint Charles, MO 63303 Phone: 636-219-0177 Fax: 636-493-1002  | |
Compass Health, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 102 Compass Point Dr, Saint Charles, MO 63301 Phone: 888-403-1071  | |
Washington University Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11 Garvey Pkwy, Saint Charles, MO 63303 Phone: 636-441-7280  | |
Lauer Chiropractic Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2241 Bluestone Dr, Saint Charles, MO 63303 Phone: 636-940-2226 Fax: 636-940-9990  | |
Visionary Vaccination & Health Services Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2757 Plaza Way, Saint Charles, MO 63303 Phone: 636-493-0219  |