| Empowerme Medical Group, Pc | |
|
15201 Olive Blvd Chesterfield MO 63017-1810 | |
| (844) 502-7996 | |
| Not Available |
| Full Name | Empowerme Medical Group, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 15201 Olive Blvd, Chesterfield, Missouri |
| Authorized Official Name and Position | David Church (VP OF FINANCE) |
| Authorized Official Contact | 6189725228 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Empowerme Medical Group, Pc 1335 Strassner Dr Brentwood MO 63144-1872 Ph: (844) 502-7996 | Empowerme Medical Group, Pc 15201 Olive Blvd Chesterfield MO 63017-1810 Ph: (844) 502-7996 |
| NPI Number | 1811682107 |
|---|---|
| Provider Enumeration Date | 04/11/2023 |
| Last Update Date | 04/19/2023 |
| Medicare PECOS PAC ID | 7214392059 |
|---|---|
| Medicare Enrollment ID | O20230623001508 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811682107 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Secondary |
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Monica Y Mills |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457663312 PECOS PAC ID: 7214126325 Enrollment ID: I20110105000534 |
| Provider Name | Maurie D Tracy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053630103 PECOS PAC ID: 5496995417 Enrollment ID: I20130715000580 |
| Provider Name | Lauren Petry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447702212 PECOS PAC ID: 4880963719 Enrollment ID: I20170707001685 |
| Provider Name | Patricia Lewien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295256485 PECOS PAC ID: 2961772223 Enrollment ID: I20170719000480 |
| Provider Name | Mariah Shiloh Schmidt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164933933 PECOS PAC ID: 0941566368 Enrollment ID: I20171117000354 |
| Provider Name | Lucija Sadl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912413584 PECOS PAC ID: 7315282480 Enrollment ID: I20181218000861 |
| Provider Name | Claire Pearson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093324816 PECOS PAC ID: 6406268481 Enrollment ID: I20201216000565 |
| Provider Name | Stacy Clarke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114508298 PECOS PAC ID: 8820489545 Enrollment ID: I20220106000847 |
| Provider Name | Joseph Mitchell |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1952669152 PECOS PAC ID: 5496981425 Enrollment ID: I20221017002159 |
| Provider Name | Kristopher Wolfe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497137947 PECOS PAC ID: 5193073575 Enrollment ID: I20230613000931 |
| Provider Name | Chelsea Roth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740714674 PECOS PAC ID: 7214207273 Enrollment ID: I20230824001326 |
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