Northwest Psychiatric Associates, Ltd | |
9979 Winghaven Blvd Ste 202 O Fallon MO 63368-3628 | |
(636) 695-4554 | |
(636) 695-3099 |
Full Name | Northwest Psychiatric Associates, Ltd |
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Speciality | Psychiatry & Neurology |
Location | 9979 Winghaven Blvd Ste 202, O Fallon, Missouri |
Authorized Official Name and Position | Scott Johann Arbaugh (PRESIDENT) |
Authorized Official Contact | 6366954554 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Northwest Psychiatric Associates, Ltd 9979 Winghaven Blvd Ste 202 O Fallon MO 63368-3628 Ph: (636) 695-4554 | Northwest Psychiatric Associates, Ltd 9979 Winghaven Blvd Ste 202 O Fallon MO 63368-3628 Ph: (636) 695-4554 |
NPI Number | 1962563429 |
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Provider Enumeration Date | 12/12/2006 |
Last Update Date | 10/20/2016 |
Medicare PECOS PAC ID | 8628025715 |
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Medicare Enrollment ID | O20080325000326 |
Identifier | Type | State | Issuer |
---|---|---|---|
1962563429 | NPI | - | NPPES |
000011932 | Other | MO | MEDICARE MO NWPA |
211318 | Other | IL | MEDICARE SCOTT ARBAUGH MD INDIVIDUAL ILLINOIS |
215820 | Other | IL | MEDICARE IL NWPA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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