Mr Zachary Wade Orr, AGNP-C | |
1622 S 18th St, Saint Louis, MO 63104-2504 | |
(217) 257-8677 | |
Not Available |
Full Name | Mr Zachary Wade Orr |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 4 Years |
Location | 1622 S 18th St, Saint Louis, Missouri |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184221160 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 2020030165 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Gateway Regional Medical Center | Granite city, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ahs Il Medical Group Llc | 5496111676 | 55 |
Entity Name | Trinity Medical Staffing Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770103426 PECOS PAC ID: 1759712698 Enrollment ID: O20200511000598 |
Entity Name | Ahs Il Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659098101 PECOS PAC ID: 5496111676 Enrollment ID: O20230512001300 |
Mailing Address | Practice Location Address |
---|---|
Mr Zachary Wade Orr, AGNP-C 1622 S 18th St, Saint Louis, MO 63104-2504 Ph: (217) 257-8677 | Mr Zachary Wade Orr, AGNP-C 1622 S 18th St, Saint Louis, MO 63104-2504 Ph: (217) 257-8677 |
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