Stephanie Graham, FNP-BC | |
100 Brevco Plz Ste 107, Lake St Louis, MO 63367-1392 | |
(636) 561-3396 | |
Not Available |
Full Name | Stephanie Graham |
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Gender | Female |
Speciality | Family Medicine |
Location | 100 Brevco Plz Ste 107, Lake St Louis, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306238704 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 2014038747 (Missouri) | Primary |
Entity Name | Cjw Enterprises, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477876423 PECOS PAC ID: 9537293816 Enrollment ID: O20100823000820 |
Mailing Address | Practice Location Address |
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Stephanie Graham, FNP-BC 1005 Haversham Ct, Saint Charles, MO 63304-1600 Ph: () - | Stephanie Graham, FNP-BC 100 Brevco Plz Ste 107, Lake St Louis, MO 63367-1392 Ph: (636) 561-3396 |
Mary Sawlai Hoang, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6261 Ronald Reagan Dr Ste B19, Lake St Louis, MO 63367 Phone: 636-561-3021 Fax: 636-561-3022 | |
Dr. Tara Rognan, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 Medical Plz Ste 200, Lake St Louis, MO 63367 Phone: 636-625-2662 | |
Dr. Scott K Roos, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6261 Ronald Reagan Dr, Ste B19, Lake St Louis, MO 63367 Phone: 636-561-3021 Fax: 636-561-3022 | |
Dr. Brian M Smith, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 Medical Plz Ste 200, Lake St Louis, MO 63367 Phone: 636-625-2662 | |
Dr. Jason B Vangundy, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 Medical Plz Ste 200, Lake St Louis, MO 63367 Phone: 636-625-2662 | |
Thien-an Hoang, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Medical Plz, Ste 101, Lake St Louis, MO 63367 Phone: 636-561-4100 Fax: 636-561-8445 |