| Chesterfield Medcenter Llc | |
|
1751 Clarkson Rd Chesterfield MO 63017 | |
| (636) 537-0377 | |
| (636) 537-2655 |
| Full Name | Chesterfield Medcenter Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1751 Clarkson Rd, Chesterfield, Missouri |
| Authorized Official Name and Position | Vladimir Gelfand (PHYSICIAN OWNER) |
| Authorized Official Contact | 6365370377 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chesterfield Medcenter Llc 1751 Clarkson Rd Chesterfield MO 63017 Ph: (636) 537-0377 | Chesterfield Medcenter Llc 1751 Clarkson Rd Chesterfield MO 63017 Ph: (636) 537-0377 |
| NPI Number | 1063448066 |
|---|---|
| Provider Enumeration Date | 06/23/2006 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 2163525809 |
|---|---|
| Medicare Enrollment ID | O20070316000343 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063448066 | NPI | - | NPPES |
| 505033506 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Vladimir L Gelfand |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346303641 PECOS PAC ID: 7618906975 Enrollment ID: I20051031000672 |
| Provider Name | Jane Clara Gelfand |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770996795 PECOS PAC ID: 6103190475 Enrollment ID: I20170926000471 |
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