Pamela Wingo, LPN is a
Licensed Practical Nurse based in Hazelwood, Missouri. Pamela Wingo is licensed to practice in Missouri (license number 2009031393) and her current practice location is
6110 Howdershell Rd, Hazelwood, Missouri. She can be reached at her office (for appointments etc.) via phone at
(314) 942-9499.
NPI number for Pamela Wingo is 1770134959 and her current mailing address is 4166 Lindell Blvd Ste 1b, Saint Louis, Missouri. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1770134959.
Healthcare Provider's Profile
| Full Name | Pamela Wingo |
|---|
| Gender | Female |
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| Speciality | Licensed Practical Nurse |
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| Location | 6110 Howdershell Rd, Hazelwood, Missouri |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1770134959
- Provider Enumeration Date: 09/27/2019
- Last Update Date: 09/27/2019
Medical Identifiers
Medical identifiers for Pamela Wingo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1770134959 | NPI | - | NPPES |
| 500075300 | Medicaid | MO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 164W00000X | Licensed Practical Nurse | 2009031393 (Missouri) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Pamela Wingo is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Pamela Wingo, LPN
4166 Lindell Blvd Ste 1b,
Saint Louis, MO 63108-2923
Ph: (314) 484-7758 | Pamela Wingo, LPN
6110 Howdershell Rd,
Hazelwood, MO 63042-1170
Ph: (314) 942-9499 |
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