| Md At Home Llc | |
|
6 Portland Pl Saint Louis MO 63108-1204 | |
| (314) 401-6210 | |
| (314) 754-9564 |
| Full Name | Md At Home Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6 Portland Pl, Saint Louis, Missouri |
| Authorized Official Name and Position | Matthew John Gibfried (OWNER) |
| Authorized Official Contact | 3144016210 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Md At Home Llc 6 Portland Pl Saint Louis MO 63108-1204 Ph: (314) 401-6210 | Md At Home Llc 6 Portland Pl Saint Louis MO 63108-1204 Ph: (314) 401-6210 |
| NPI Number | 1518417708 |
|---|---|
| Provider Enumeration Date | 10/11/2016 |
| Last Update Date | 10/11/2016 |
| Medicare PECOS PAC ID | 6204115397 |
|---|---|
| Medicare Enrollment ID | O20161114000065 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518417708 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 2005023728 (Missouri) | Primary |
| Provider Name | Matthew Gibfried |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104887728 PECOS PAC ID: 7618985920 Enrollment ID: I20060329000021 |
| Provider Name | Patricia Ann Jentsch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558423251 PECOS PAC ID: 1456440486 Enrollment ID: I20071128000797 |
| Provider Name | Cathy M Coleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205149366 PECOS PAC ID: 9739378894 Enrollment ID: I20110105001124 |
| Provider Name | Courtney Chad Alan Singrey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043581556 PECOS PAC ID: 5991962409 Enrollment ID: I20120209000799 |
| Provider Name | Megan Mihelcic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205263589 PECOS PAC ID: 1658509500 Enrollment ID: I20140122001502 |
| Provider Name | Arneatrice D Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720342744 PECOS PAC ID: 9537464623 Enrollment ID: I20160229000224 |
| Provider Name | Erin K Asta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396362224 PECOS PAC ID: 6608291570 Enrollment ID: I20200810001518 |
| Provider Name | Chelsea Ann Garbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316553118 PECOS PAC ID: 7012313042 Enrollment ID: I20210831000751 |
St. Louis Center For Preventive And Longevity Medicine, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 777 S New Ballas Rd, Suite 200 E, Saint Louis, MO 63141 Phone: 314-994-1536 Fax: 314-692-0241 | |
Town And Country Primary Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3009 N Ballas Rd, Suite 300a, Saint Louis, MO 63131 Phone: 314-872-8999 | |
Family Care Health Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 Lynch St, Saint Louis, MO 63118 Phone: 314-531-5444 Fax: 314-531-0063 | |
Wusm Bjc Aco Providers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 660 S Euclid Ave, Campus Box 8081, Saint Louis, MO 63110 Phone: 314-273-0770 | |
Victus Physician Services, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12607 Olive Blvd, Saint Louis, MO 63141 Phone: 314-327-8070 | |
Salvation Army Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2900 Washington Ave, Saint Louis, MO 63103 Phone: 314-898-1700 Fax: 314-814-8542 | |
Dtg Ii Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3819 Tesson Ct, Saint Louis, MO 63123 Phone: 800-268-7713 Fax: 415-704-3294 |