Home Drs Medical Group | |
7171 Delmar Blvd University City MO 63130-4341 | |
(314) 361-7764 | |
(314) 361-7776 |
Full Name | Home Drs Medical Group |
---|---|
Speciality | General Practice |
Location | 7171 Delmar Blvd, University City, Missouri |
Authorized Official Name and Position | Janette Hamilton (CEO) |
Authorized Official Contact | 3143617764 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Home Drs Medical Group 7171 Delmar Blvd University City MO 63130-4341 Ph: (314) 361-7764 | Home Drs Medical Group 7171 Delmar Blvd University City MO 63130-4341 Ph: (314) 361-7764 |
NPI Number | 1518570696 |
---|---|
Provider Enumeration Date | 08/28/2020 |
Last Update Date | 08/28/2020 |
Medicare PECOS PAC ID | 0143631432 |
---|---|
Medicare Enrollment ID | O20201117001706 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518570696 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
251E00000X | Home Health | (* (Not Available)) | Secondary |
Provider Name | Valerie O Walker |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1083784375 PECOS PAC ID: 3274524624 Enrollment ID: I20040524000408 |
Provider Name | Binwant K Singh |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1508932195 PECOS PAC ID: 5597781021 Enrollment ID: I20051025000090 |
Provider Name | Carmel R Boykin-wright |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1487724381 PECOS PAC ID: 8820124142 Enrollment ID: I20100325000886 |
Provider Name | Eboni January |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1851602593 PECOS PAC ID: 8426273434 Enrollment ID: I20140708001149 |
Provider Name | Tyree E Miller |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1720297989 PECOS PAC ID: 6305062209 Enrollment ID: I20140730001062 |
Provider Name | Charles C Bradford |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194281584 PECOS PAC ID: 2668805235 Enrollment ID: I20191212001380 |
Provider Name | Derek Christopher Braddix |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588110480 PECOS PAC ID: 8729360755 Enrollment ID: I20200804000787 |
Provider Name | Van B Ho |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144844309 PECOS PAC ID: 5597176883 Enrollment ID: I20201117001794 |
Provider Name | Kathryn Rudy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124601463 PECOS PAC ID: 3072914050 Enrollment ID: I20210628003400 |
Provider Name | Angela M Bryant |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1942504105 PECOS PAC ID: 1951702968 Enrollment ID: I20210629000561 |
Provider Name | Christina R Roybal |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548939192 PECOS PAC ID: 1052702339 Enrollment ID: I20211221000792 |
Provider Name | Lonnikah K Holmes |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003487505 PECOS PAC ID: 9931539160 Enrollment ID: I20220411002506 |
Home Docs Medical Associates, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7584 Olive Blvd Ste 204, University City, MO 63130 Phone: 314-376-4045 Fax: 314-376-4046 |