Miss Michele L Niemczyk, DO | |
11642 W Florissant Ave, Florissant, MO 63033-6723 | |
(314) 838-8220 | |
(314) 830-1873 |
Full Name | Miss Michele L Niemczyk |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 11642 W Florissant Ave, Florissant, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083649024 | NPI | - | NPPES |
2005017812 | Other | MO | STATE LICENSE |
207489808 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 2005017812 (Missouri) | Primary |
Entity Name | Compass Health Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285619494 PECOS PAC ID: 1951206754 Enrollment ID: O20040408000955 |
Mailing Address | Practice Location Address |
---|---|
Miss Michele L Niemczyk, DO 5701 Delmar Blvd, Saint Louis, MO 63112-2617 Ph: (314) 367-7848 | Miss Michele L Niemczyk, DO 11642 W Florissant Ave, Florissant, MO 63033-6723 Ph: (314) 838-8220 |
Laura Elizabeth Holt, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 11642 W Florissant Ave, Florissant, MO 63033 Phone: 314-838-8220 Fax: 314-838-4007 | |
Dr. Elinor Hancock, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4129 N Us Highway 67, Florissant, MO 63034 Phone: 314-355-6390 | |
Dr. Ritu L Zei, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1225 Graham Rd, Div Ped Emergency Med, Florissant, MO 63031 Phone: 314-454-2341 Fax: 314-454-4345 | |
Dr. Kevin J Murphy, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1224 Graham Rd, Ste 1103, Florissant, MO 63031 Phone: 314-837-0405 Fax: 314-395-7289 | |
Dr. Katherine L Austin, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1225 Graham Rd, Div Ped Emergency Med, Florissant, MO 63031 Phone: 314-454-2341 Fax: 314-454-4345 | |
Dr. Justin O Ogbevoen, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1225 Graham Rd, Div Ped Emergency Med, Florissant, MO 63031 Phone: 314-454-2341 Fax: 314-454-4345 |