Amy Weckherlin, | |
261 Avalon Hills Dr, Fenton, MO 63026-2698 | |
(636) 225-7471 | |
Not Available |
Full Name | Amy Weckherlin |
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Gender | Female |
Speciality | Physical Medicine & Rehabilitation |
Location | 261 Avalon Hills Dr, Fenton, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437526571 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | 2000154580 (Missouri) | Primary |
Entity Name | Aegis Group Practice Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558819508 PECOS PAC ID: 5193036432 Enrollment ID: O20161109000544 |
Entity Name | Legacy Healthcare Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407487366 PECOS PAC ID: 2163339722 Enrollment ID: O20200327001604 |
Mailing Address | Practice Location Address |
---|---|
Amy Weckherlin, 261 Avalon Hills Dr, Fenton, MO 63026-2698 Ph: (636) 225-7471 | Amy Weckherlin, 261 Avalon Hills Dr, Fenton, MO 63026-2698 Ph: (636) 225-7471 |
Taylor Halteman, DPT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1015 Bowles Ave, Fenton, MO 63026 Phone: 636-496-2430 | |
Dr. Adam Shomstein, D.O. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 520 Center St, Fenton, MO 63026 Phone: 314-516-3289 |