Ebele N Iloabachie, | |
12098 Lusher Rd, Saint Louis, MO 63138-1302 | |
(866) 825-3227 | |
Not Available |
Full Name | Ebele N Iloabachie |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 12 Years |
Location | 12098 Lusher Rd, Saint 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 |
---|---|---|---|
1093050841 | NPI | - | NPPES |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Preferred Behavioral Health Mso, Inc. | 7214349844 | 9 |
Entity Name | Preferred Behavioral Health Mso, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962014472 PECOS PAC ID: 7214349844 Enrollment ID: O20201223001492 |
Mailing Address | Practice Location Address |
---|---|
Ebele N Iloabachie, 7006 Stony Ridge Rd, Saint Louis, MO 63129-6405 Ph: () - | Ebele N Iloabachie, 12098 Lusher Rd, Saint Louis, MO 63138-1302 Ph: (866) 825-3227 |
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