| Hope Headache And Neurology Llc | |
|
3862 Mexico Rd Saint Peters MO 63303-3041 | |
| (636) 425-4673 | |
| (636) 898-8198 |
| Full Name | Hope Headache And Neurology Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3862 Mexico Rd, Saint Peters, Missouri |
| Authorized Official Name and Position | Andrew Dawson (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 6364254673 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hope Headache And Neurology Llc Po Box 489 Saint Charles MO 63302-0489 Ph: (636) 425-4673 | Hope Headache And Neurology Llc 3862 Mexico Rd Saint Peters MO 63303-3041 Ph: (636) 425-4673 |
| NPI Number | 1831971829 |
|---|---|
| Provider Enumeration Date | 10/16/2023 |
| Last Update Date | 02/07/2024 |
| Certification Date | 02/07/2024 |
| Medicare PECOS PAC ID | 1456700202 |
|---|---|
| Medicare Enrollment ID | O20231206000451 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831971829 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Andrew Dawson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912353533 PECOS PAC ID: 0042502478 Enrollment ID: I20211008002688 |
| Provider Name | Divya Sivakumar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528419587 PECOS PAC ID: 5092000851 Enrollment ID: I20211210002430 |
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