Dr. Kalla Alexis Gervasio is a Saint Louis, Missouri based female Ophthalmic Plastic and Re-constructive Surgeon with 7 years of experience in Ophthalmic Plastic and Reconstructive Surgery. She completed her graduation from Icahn School Of Medicine At Mount Sinai in 2017. She is also affiliated with hospitals like Thomas Jefferson University Hospital. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Kalla Alexis Gervasio is 2022016365 for Ophthalmic Plastic and Reconstructive Surgery in Missouri.
Dr. Kalla Alexis Gervasio specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck.
Complete Profile:
Dr. Kalla Alexis Gervasio speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization: | Ophthalmic Plastic and Reconstructive Surgery |
Credentials: | MD |
Experience: | 7+ years |
Medical School Attended: | Icahn School Of Medicine At Mount Sinai |
Graduation Year: | 2017 |
Gender: | Female |
Accepts Medicare Assignment: | Yes |
Practice Address: | 4901 Forest Park Ave, Dept Ophthalmology, 6th Fl, Saint Louis, Missouri, 63108-1495 |
Phone: | 314-362-3937 |
Fax: | 314-362-3725 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID: | 1850642380 |
Enrollment ID: | I20210524000662 |
NPI Number: | 1619409364 |
NPI Enumeration Date: | 31 Mar, 2017 |
NPI Last Update On: | 25 Apr, 2024 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Kalla Alexis Gervasio are as mentioned below.
License Number | Specialization | State | Status | |
2022016365 | Ophthalmic Plastic and Reconstructive Surgery | Missouri | Primary | |
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN) | State | Hospital Type |
Thomas Jefferson University Hospital (390174) | Philadelphia, PA | Acute Care Hospital |
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Kalla Alexis Gervasio has association with along with the number of members in that group.
Organization Name (Group PAC ID) | Members |
Wills Eye Ophthalmology Clinic, Inc (9133025166) | 141 |
Washington University (9830008770) | 2368 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Kalla Alexis Gervasio such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier | Type | State | Issuer |
200109577 | Medicaid | Missouri | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: | Po Box 60352, Saint Louis, Missouri |
Zip: | 63160-0352 |
Phone Number: | 314-362-3937 |
Fax Number: | 314-362-3725 |
Patients can reach Dr. Kalla Alexis Gervasio at
4901 Forest Park Ave, Dept Ophthalmology, 6th Fl, Saint Louis, Missouri or can
call to book an appointment on 314-362-3937. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.