| Oak Street Health Physicians Group Of Missouri, Llc | |
|
3451 Union Blvd Saint Louis MO 63115-1142 | |
| (312) 733-9730 | |
| (314) 408-7063 |
| Full Name | Oak Street Health Physicians Group Of Missouri, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3451 Union Blvd, Saint Louis, Missouri |
| Authorized Official Name and Position | Griffin Myers (CMO) |
| Authorized Official Contact | 3072642085 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oak Street Health Physicians Group Of Missouri, Llc 30 W Monroe St Ste 1200 Chicago IL 60603-2420 Ph: (312) 733-9730 | Oak Street Health Physicians Group Of Missouri, Llc 3451 Union Blvd Saint Louis MO 63115-1142 Ph: (312) 733-9730 |
| NPI Number | 1669041760 |
|---|---|
| Provider Enumeration Date | 06/22/2021 |
| Last Update Date | 06/30/2023 |
| Certification Date | 06/30/2023 |
| Medicare PECOS PAC ID | 7315340213 |
|---|---|
| Medicare Enrollment ID | O20210729003441 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669041760 | NPI | - | NPPES |
| Provider Name | Monique Marie Williams |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1780602417 PECOS PAC ID: 9638139868 Enrollment ID: I20041013000117 |
| Provider Name | Brent Wayne Beasley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043278484 PECOS PAC ID: 4981632106 Enrollment ID: I20050729000330 |
| Provider Name | Mary C Strauss-barrett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740230606 PECOS PAC ID: 0648290767 Enrollment ID: I20051202000655 |
| Provider Name | Robyn D Drake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144325457 PECOS PAC ID: 4880691211 Enrollment ID: I20061027000375 |
| Provider Name | Renitra Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144399270 PECOS PAC ID: 4981708047 Enrollment ID: I20070329000091 |
| Provider Name | Justin Huynh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902096613 PECOS PAC ID: 4183758089 Enrollment ID: I20100813000758 |
| Provider Name | Siroth Charnond |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265421218 PECOS PAC ID: 3779617352 Enrollment ID: I20100818000515 |
| Provider Name | Edward A Puro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356409957 PECOS PAC ID: 3375540719 Enrollment ID: I20110915000883 |
| Provider Name | Erin Alcazar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457698607 PECOS PAC ID: 8921243940 Enrollment ID: I20130322000236 |
| Provider Name | Tonya E Buchanan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043556467 PECOS PAC ID: 6800030446 Enrollment ID: I20130920000133 |
| Provider Name | Sreelatha C Varma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689624116 PECOS PAC ID: 9133025711 Enrollment ID: I20150721000954 |
| Provider Name | Jessica Nicole Hoffmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346600970 PECOS PAC ID: 9032415815 Enrollment ID: I20160303001364 |
| Provider Name | Stephanie Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487103545 PECOS PAC ID: 0244528826 Enrollment ID: I20161014000167 |
| Provider Name | Rachel Fulton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861934341 PECOS PAC ID: 3870862196 Enrollment ID: I20180216001352 |
| Provider Name | Terica Meeks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285056713 PECOS PAC ID: 8426303470 Enrollment ID: I20180615001951 |
| Provider Name | Madylene Mcclure |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457842692 PECOS PAC ID: 4789932864 Enrollment ID: I20180806002993 |
| Provider Name | Amila Tomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033601067 PECOS PAC ID: 4981954369 Enrollment ID: I20180905002862 |
| Provider Name | Leah Anne Miles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922574524 PECOS PAC ID: 1759625312 Enrollment ID: I20181207002054 |
| Provider Name | Stella Wohlfarth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043670466 PECOS PAC ID: 1658791546 Enrollment ID: I20220121001068 |
| Provider Name | Matthew Fieleke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467680900 PECOS PAC ID: 8123275823 Enrollment ID: I20220715002022 |
| Provider Name | Lindsay Chrzanowski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003566258 PECOS PAC ID: 0143603209 Enrollment ID: I20220823000917 |
| Provider Name | William Bernard Beachum Iii |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932827169 PECOS PAC ID: 0143606087 Enrollment ID: I20220930000278 |
| Provider Name | Margaux Dechambre |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427589134 PECOS PAC ID: 7214208982 Enrollment ID: I20221007000842 |
| Provider Name | Justin Hunt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326138074 PECOS PAC ID: 6901842228 Enrollment ID: I20221102001902 |
| Provider Name | Rachel Sabb |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629321096 PECOS PAC ID: 0547412371 Enrollment ID: I20230123002178 |
| Provider Name | Michele Mitchell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174505325 PECOS PAC ID: 9234215401 Enrollment ID: I20230218000042 |
| Provider Name | Laura Lindsay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376175349 PECOS PAC ID: 2769842442 Enrollment ID: I20230712004016 |
| Provider Name | Alissa Haight |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508342874 PECOS PAC ID: 5496185662 Enrollment ID: I20231106000247 |
| Provider Name | Paige Dodson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154564045 PECOS PAC ID: 9133374796 Enrollment ID: I20240222002893 |
| Provider Name | Megan Romine |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922236181 PECOS PAC ID: 5294983011 Enrollment ID: I20240306000135 |
| Provider Name | Bonnie Landgraf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255784518 PECOS PAC ID: 1052605318 Enrollment ID: I20240308000265 |
| Provider Name | Michell Ann Peppers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669750568 PECOS PAC ID: 6608214176 Enrollment ID: I20240403000153 |
| Provider Name | Shayla Curtis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902413255 PECOS PAC ID: 5991125783 Enrollment ID: I20240608000236 |
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