| Clear Practice Pllc | |
|
7777 Bonhomme Ave Ste 1800 Clayton MO 63105-1931 | |
| (855) 229-2177 | |
| (314) 464-0759 |
| Full Name | Clear Practice Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 7777 Bonhomme Ave Ste 1800, Clayton, Missouri |
| Authorized Official Name and Position | Michael Fusco (OWNER) |
| Authorized Official Contact | 3142092800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clear Practice Pllc 3251 Riverport Ln Ste 101 Maryland Heights MO 63043-4831 Ph: (314) 209-2800 | Clear Practice Pllc 7777 Bonhomme Ave Ste 1800 Clayton MO 63105-1931 Ph: (855) 229-2177 |
| NPI Number | 1386498319 |
|---|---|
| Provider Enumeration Date | 04/16/2024 |
| Last Update Date | 11/06/2024 |
| Medicare PECOS PAC ID | 4880137850 |
|---|---|
| Medicare Enrollment ID | O20240618003435 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386498319 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Donna M Whitley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851769418 PECOS PAC ID: 2668789868 Enrollment ID: I20150921002814 |
| Provider Name | Brittany Venable |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376913210 PECOS PAC ID: 7113236449 Enrollment ID: I20151027001987 |
| Provider Name | Benjamin Harris |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093125080 PECOS PAC ID: 7315249737 Enrollment ID: I20170621001228 |
| Provider Name | Tawniece Curry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194573824 PECOS PAC ID: 5193268332 Enrollment ID: I20240617002204 |
| Provider Name | Taylor Well |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528700325 PECOS PAC ID: 6608254867 Enrollment ID: I20240618003780 |
| Provider Name | Alexandra Gain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497474951 PECOS PAC ID: 6709329634 Enrollment ID: I20240620002087 |
| Provider Name | Tory Andrews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619531340 PECOS PAC ID: 1254665946 Enrollment ID: I20241007000657 |
| Provider Name | Dominic Leung |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144230335 PECOS PAC ID: 8820287097 Enrollment ID: I20241118001452 |
| Provider Name | Katie Dcruz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124412168 PECOS PAC ID: 0941513642 Enrollment ID: I20241211004332 |
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