| Heritage Wellness Clinic Llc | |
|
2730 S Saint Peters Pkwy Saint Peters MO 63303-5677 | |
| (636) 277-9927 | |
| (636) 295-4741 |
| Full Name | Heritage Wellness Clinic Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2730 S Saint Peters Pkwy, Saint Peters, Missouri |
| Authorized Official Name and Position | Kimberly Wyatt (CRED. SPEC.) |
| Authorized Official Contact | 6362779927 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heritage Wellness Clinic Llc 2730 S Saint Peters Pkwy Saint Peters MO 63303-5677 Ph: (636) 277-9927 | Heritage Wellness Clinic Llc 2730 S Saint Peters Pkwy Saint Peters MO 63303-5677 Ph: (636) 277-9927 |
| NPI Number | 1619483294 |
|---|---|
| Provider Enumeration Date | 12/19/2017 |
| Last Update Date | 12/19/2017 |
| Medicare PECOS PAC ID | 6800218785 |
|---|---|
| Medicare Enrollment ID | O20200623000988 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619483294 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Abid Nisar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245375567 PECOS PAC ID: 5496713133 Enrollment ID: I20050119000001 |
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Compass Health, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8075 Mexico Rd, Saint Peters, MO 63376 Phone: 573-234-5258 | |
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