Amanda Garth, NP-C | |
400 Medical Plz Ste 200, Lake St Louis, MO 63367-1417 | |
(636) 625-2662 | |
Not Available |
Full Name | Amanda Garth |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 12 Years |
Location | 400 Medical Plz Ste 200, Lake St Louis, Missouri |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710401641 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 2017023148 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ssm Health At Home Home Health-st Louis | Saint louis, MO | Home health agency |
Ssm St Joseph Hospital West | Lake saint louis, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ssm Medical Group Inc | 6608776299 | 496 |
Entity Name | Ssm Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700966207 PECOS PAC ID: 6608776299 Enrollment ID: O20040729001034 |
Mailing Address | Practice Location Address |
---|---|
Amanda Garth, NP-C Po Box 955534, Saint Louis, MO 63195-5534 Ph: () - | Amanda Garth, NP-C 400 Medical Plz Ste 200, Lake St Louis, MO 63367-1417 Ph: (636) 625-2662 |
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