| Ssmdepaul Medical Group | |
| 
					1551 Wall St Suite 400 Saint Charles MO 63303-3539  | |
| (636) 669-2350 | |
| (636) 669-2221 | 
| Full Name | Ssmdepaul Medical Group | 
|---|---|
| Speciality | Podiatrist - Foot & Ankle Surgery | 
| Location | 1551 Wall St, Saint Charles, Missouri | 
| Authorized Official Name and Position | Bridget Francis (CREDENTILAING COORDINATOR) | 
| Authorized Official Contact | 6366692268 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Ssmdepaul Medical Group 1551 Wall St Suite 310 Saint Charles MO 63303-3539 Ph: (636) 669-2268  | Ssmdepaul Medical Group 1551 Wall St Suite 400 Saint Charles MO 63303-3539 Ph: (636) 669-2350  | 
| NPI Number | 1457660896 | 
|---|---|
| Provider Enumeration Date | 10/04/2010 | 
| Last Update Date | 10/04/2010 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1457660896 | NPI | - | NPPES | 
| 502915705 | Medicaid | MO | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | (Missouri) | Secondary | 
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | (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  |