| Ms Marcella M Petzchen, NP | |
|
3660 Vista Ave, Suite 207, Saint Louis, MO 63110-2540 | |
| (314) 977-6100 | |
| (314) 977-6137 |
| Full Name | Ms Marcella M Petzchen |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 56 Years |
| Location | 3660 Vista Ave, 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 |
|---|---|---|---|
| 1255393716 | NPI | - | NPPES |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Louis University Hospital | Saint louis, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ssm Health Care Group | 0143608372 | 690 |
| Entity Name | Slh Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881668051 PECOS PAC ID: 9830132653 Enrollment ID: O20050602000941 |
| Entity Name | Ssm Health Care Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306589544 PECOS PAC ID: 0143608372 Enrollment ID: O20220531002655 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Marcella M Petzchen, NP 3691 Rutger Ave, Provider Enrollment, St Louis, MO 63110 Ph: (314) 977-4440 | Ms Marcella M Petzchen, NP 3660 Vista Ave, Suite 207, Saint Louis, MO 63110-2540 Ph: (314) 977-6100 |
Maryann Signaigo, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 4000 Jennings Station Rd, Saint Louis, MO 63121 Phone: 314-679-7880 Fax: 314-679-7876 | |
Tracy Lynn Cropper, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 3800 S Broadway, Saint Louis, MO 63118 Phone: 314-772-2205 Fax: 314-772-9264 | |
Michelle Apple, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 546 Kinswood Ln, Saint Louis, MO 63129 Phone: 314-487-2047 | |
Ms. Shanel Montalvo, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2248 Welsch Industrial Ct, Saint Louis, MO 63146 Phone: 314-356-9830 | |
Miss Lauren Whitney Stone, RN, BSN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 4000 Jennings Station Rd, Saint Louis, MO 63121 Phone: 314-679-7914 | |
Kristin Johnson, RNFA Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 760 Office Pkwy, Saint Louis, MO 63141 Phone: 314-995-4700 Fax: 314-995-4701 | |
Ms. Fereshteh Keshavarz, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 4130 Lindell Blvd, Saint Louis, MO 63108 Phone: 314-535-5600 Fax: 314-615-2190 |