Archwell Health Professional Services Of Kansas, P.a. | |
199 N Florissant Rd Ferguson MO 63135-1976 | |
(888) 987-1151 | |
Not Available |
Full Name | Archwell Health Professional Services Of Kansas, P.a. |
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Speciality | Internal Medicine |
Location | 199 N Florissant Rd, Ferguson, Missouri |
Authorized Official Name and Position | Lisa Lucas (CHIEF ADMINISTRATIVE OFFICER) |
Authorized Official Contact | 6154190947 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Archwell Health Professional Services Of Kansas, P.a. 102 Woodmont Blvd Ste 600 Nashville TN 37205-5250 Ph: () - | Archwell Health Professional Services Of Kansas, P.a. 199 N Florissant Rd Ferguson MO 63135-1976 Ph: (888) 987-1151 |
NPI Number | 1083289086 |
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Provider Enumeration Date | 05/21/2021 |
Last Update Date | 04/05/2023 |
Medicare PECOS PAC ID | 4688072358 |
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Medicare Enrollment ID | O20211011001089 |
Identifier | Type | State | Issuer |
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1083289086 | NPI | - | NPPES |
Provider Name | Lezlee A Price |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225110091 PECOS PAC ID: 2466404157 Enrollment ID: I20050210000485 |
Provider Name | Joe Ramsey |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1619962099 PECOS PAC ID: 7517065121 Enrollment ID: I20070605000674 |
Provider Name | Stephanie Marie Revels |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1043267404 PECOS PAC ID: 4385732668 Enrollment ID: I20071120000504 |
Provider Name | Jacqueline L Hawkins |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154612307 PECOS PAC ID: 2163609793 Enrollment ID: I20110608000641 |
Provider Name | Erin Ragner |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699223784 PECOS PAC ID: 0941580229 Enrollment ID: I20170210001087 |
Provider Name | Heather L Savedra |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1861694705 PECOS PAC ID: 7012086655 Enrollment ID: I20211011001320 |
Provider Name | Andrew William Dewitt |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811521487 PECOS PAC ID: 0244620631 Enrollment ID: I20211129000416 |
Provider Name | Michael Jordan Lipp |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1427016021 PECOS PAC ID: 3173678323 Enrollment ID: I20211214002356 |
Provider Name | Donald Joseph Goddard |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1134229412 PECOS PAC ID: 4486648664 Enrollment ID: I20220215000591 |
Provider Name | Aneesh Pakala |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1275797987 PECOS PAC ID: 1052612116 Enrollment ID: I20220217001068 |
Provider Name | Naga L Pannala |
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Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1366673352 PECOS PAC ID: 2365743556 Enrollment ID: I20220217002597 |
Provider Name | Palak J Shah |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1043823628 PECOS PAC ID: 6901250851 Enrollment ID: I20230926002030 |
Provider Name | Shandra Miller |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306444963 PECOS PAC ID: 8224404892 Enrollment ID: I20240306002577 |
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