Renee L Mcdonald (NPI# 1457707705, PAC ID# 1052601887) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1457707705 |
| PAC ID by PECOS | 1052601887 |
| Professional Enrollment ID | I20160606002723 |
| Full Name | Renee L Mcdonald |
| Organization Legal Name | SSM ST.CHARLES CLINIC MEDICAL GROUP INC |
| Address |
300 Medical Plz Suite 150 Lake Saint Louis MO 63367-1483 |
| Phone Number | 6366252662 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9032023304 |
| Number of Group Practice Members | 138 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260200 | SSM HEALTH SAINT JOSEPH HOSPITAL-LAKE SAINT LOUIS |
| 260105 | SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 300 Medical Plz, Suite 150, Lake Saint Louis, MO 63367-1483 | 6366252662 | SSM ST.CHARLES CLINIC MEDICAL GROUP INC |
| 300 Medical Plz, Lake Saint Louis, MO 63367-1483 | 6366252662 | SSM ST.CHARLES CLINIC MEDICAL GROUP INC |
| Organization Legal Name | SSM ST.CHARLES CLINIC MEDICAL GROUP INC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anthony W Campbell | General Surgery | Ssm St.charles Clinic Medical Group Inc | 400 1st Capitol Dr, Suite 201, Saint Charles, MO 63301-2882 |
| Pedro C Padilla | Urology | Ssm St.charles Clinic Medical Group Inc | 300 Medical Plz, Suite 310, Lake St Louis, MO 63367-1484 |
| Anna C Wolaniuk | Obstetrics/gynecology | Ssm St.charles Clinic Medical Group Inc | 1475 Kisker Rd, Saint Charles, MO 63304-8788 |
| Laura A Benack | Nurse Practitioner | Ssm St.charles Clinic Medical Group Inc | 6994 Mexico Rd, St Peters, MO 63376-1512 |
| Erika R Anderson | Physician Assistant | Ssm St.charles Clinic Medical Group Inc | 300 Medical Plz, Suite 310, Lake St Louis, MO 63367-1484 |
| Martin P Altman | Gastroenterology | Ssm St.charles Clinic Medical Group Inc | 1551 Wall St, Suite 400, St Charles, MO 63303-2597 |
| Amy B Willbanks | Nurse Practitioner | Ssm St.charles Clinic Medical Group Inc | 1551 Wall St, Suite 400, St Charles, MO 63303-2597 |
| Street Address |
300 MEDICAL PLZ SUITE 150 |
| City | LAKE SAINT LOUIS |
| State | MO |
| Zip | 63367-1483 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carl Fleisher | Psychiatry | Uc Regents Ucla Neuropsychiatric Behavioral Health | 300 Medical Plz, Suite 2200, Los Angeles, CA 90095-6968 |
| Eric D Rosoff | Psychiatry | Uc Regents Ucla Neuropsychiatric Behavioral Health | 300 Medical Plz, Los Angeles, CA 90095-6502 |
| Jason Jalil | Psychiatry | Uc Regents Ucla Neuropsychiatric Behavioral Health | 300 Medical Plz, Suite 2200, Los Angeles, CA 90095-6968 |
| Susan B Vereb | Physical Therapy | The Regents of The University of California | 300 Medical Plz, B200, Los Angeles, CA 90095-0001 |
| Feridey Naomi Carr | Psychologist, Clinical | The Regents of The University of California | 300 Medical Plz, B200, Los Angeles, CA 90095-0001 |
| Syed Tariq | Gastroenterology | Ssm Medical Group Inc | 300 Medical Plz, Suite 150, Lake St Louis, MO 63367-1483 |
| Stephen Marder | Psychiatry | Uc Regents Ucla Neuropsychiatric Behavioral Health | 300 Medical Plz, Los Angeles, CA 90095-6502 |
| Prityi Rani | Neurology | Ssm Medical Group Inc | 300 Medical Plz, Suite 221, Lake St Louis, MO 63367-1483 |
| Molly K Lombardo | Nurse Practitioner | Ssm Medical Group Inc | 300 Medical Plz, Suite 221, Lake St Louis, MO 63367-1483 |
| Katie D Schmidt | Nurse Practitioner | Ssm Medical Group Inc | 300 Medical Plz, Suite 150, Lake St Louis, MO 63367-1483 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James David Sills Powell | Podiatry | 1309 Lake Saint Louis Blvd, Lake Saint Louis, MO 63367-1322 | |
| Victoria Lynn Hines | Nurse Practitioner | Forest Physician Services, LLP | 100 Medical Plz, Lake Saint Louis, MO 63367-1366 |
| Patrick D Farrell | Family Medicine | Forest Physician Services, LLP | 100 Medical Plz, Lake Saint Louis, MO 63367-1366 |
| John Long | Anesthesiology | Metro-west Anesthesia Group Inc | 100 Medical Plz, Lake Saint Louis, MO 63367-1366 |
| Gregory Dewitt Folkert | Emergency Medicine | Lake Forest Emergency Group LLC | 100 Medical Plz, Lake Saint Louis, MO 63367-1366 |
| Akiko Okabe | Nurse Practitioner | Southeastern Physician Services PC | 100 Medical Plz, Lake Saint Louis, MO 63367-1366 |
| Kathleen H Kidd | Certified Registered Nurse Anesthetist (crna) | Metro-west Anesthesia Group Inc | 100 Medical Plz, Lake Saint Louis, MO 63367-1366 |
| Vincent Lawrence Boston | Emergency Medicine | Lake Forest Emergency Group LLC | 100 Medical Plz, Lake Saint Louis, MO 63367-1366 |
| Justin Rapoff | Emergency Medicine | Lake Forest Emergency Group LLC | 100 Medical Plz, Lake Saint Louis, MO 63367-1366 |
| Sebastian Puig | Internal Medicine | Forest Physician Services, LLP | 100 Medical Plz, Lake Saint Louis, MO 63367-1366 |
| Find all physicians in zip 63367 | |||
| City | LAKE SAINT LOUIS |
| Zip Code | 63367 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | LAKE SAINT LOUIS + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Renee L Mcdonald.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.