| Esse Health Heal At Home Llc | |
|
12655 Olive Blvd Fl 4 Saint Louis MO 63141-6291 | |
| (314) 851-1000 | |
| Not Available |
| Full Name | Esse Health Heal At Home Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 12655 Olive Blvd Fl 4, Saint Louis, Missouri |
| Authorized Official Name and Position | David Kearney (CEO) |
| Authorized Official Contact | 3148511000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Esse Health Heal At Home Llc 12655 Olive Blvd Fl 4 Saint Louis MO 63141-6291 Ph: (314) 851-1000 | Esse Health Heal At Home Llc 12655 Olive Blvd Fl 4 Saint Louis MO 63141-6291 Ph: (314) 851-1000 |
| NPI Number | 1801518592 |
|---|---|
| Provider Enumeration Date | 09/19/2022 |
| Last Update Date | 09/15/2023 |
| Medicare PECOS PAC ID | 8123494374 |
|---|---|
| Medicare Enrollment ID | O20221013001307 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801518592 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Luann B Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649321860 PECOS PAC ID: 5597852822 Enrollment ID: I20071101000722 |
| Provider Name | Munier El-beck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376720953 PECOS PAC ID: 2769550268 Enrollment ID: I20081010000504 |
| Provider Name | Randal Michelson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942571013 PECOS PAC ID: 2567783855 Enrollment ID: I20150611003316 |
| Provider Name | Charity Michelle Huff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083133177 PECOS PAC ID: 0446526727 Enrollment ID: I20171101002040 |
| Provider Name | Lauren Hunter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255803946 PECOS PAC ID: 4789923616 Enrollment ID: I20190311002254 |
| Provider Name | Adnan Shahid Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558865097 PECOS PAC ID: 8628324852 Enrollment ID: I20230330002322 |
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