4921 PARKVIEW PL STE 5C
SAINT LOUIS, MO 63110-1032 US PECOS Enrolled
Stanley J Birge
Internal Medicine Physician (Geriatric Medicine)
- SAINT LOUIS, MO
- Phone: (314)-286-2700
- Last Updated 7/19/2019
Overview
Stanley J Birge is a Internal Medicine Physician (Geriatric Medicine) in the SAINT LOUIS area. Stanley J Birge primary office location is at 4921 PARKVIEW PL and new patients are welcome to contact this healthcare provider for an appointment. The NPI number is 1205854908 and the information was updated approximately 5 years ago.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: NO
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| 29153 | MO |
| Type/Issuer | Identifier | State |
|---|---|---|
| MEDICAID | 200943314 | MO |
| MEDICAID | ENROLLED | IL |
| Taxonomy | State | Primary? |
|---|---|---|
| Internal Medicine Physician (Geriatric Medicine) - Taxonomy Code 207RG0300X | MO | Y |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | |
| PECOS Individual PAC ID: | |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | Yes |
| Eligible to order/refer Power Mobility Devices (PMD) | Yes |
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