Medwin Primary Care L.l.c. | |
3619 Richardson Square Dr Arnold MO 63010-6022 | |
(636) 461-1414 | |
Not Available |
Full Name | Medwin Primary Care L.l.c. |
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Speciality | Internal Medicine |
Location | 3619 Richardson Square Dr, Arnold, Missouri |
Authorized Official Name and Position | Kurmanadha Green (BILLING MANAGER) |
Authorized Official Contact | 3148780163 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Medwin Primary Care L.l.c. Po Box 797052 Saint Louis MO 63179-7000 Ph: (636) 461-1414 | Medwin Primary Care L.l.c. 3619 Richardson Square Dr Arnold MO 63010-6022 Ph: (636) 461-1414 |
NPI Number | 1376552067 |
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Provider Enumeration Date | 08/05/2006 |
Last Update Date | 09/26/2012 |
Medicare PECOS PAC ID | 0446203236 |
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Medicare Enrollment ID | O20050221000570 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376552067 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 105197 (Missouri) | Primary |
Provider Name | Kurmanadha Chadalawada |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1396771606 PECOS PAC ID: 9032014972 Enrollment ID: I20031203000679 |
Provider Name | Jesse D Helton |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1720058381 PECOS PAC ID: 8729997507 Enrollment ID: I20040507000223 |
Provider Name | Kristina A Potts |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356747513 PECOS PAC ID: 2961710363 Enrollment ID: I20151005002442 |
Provider Name | Jessica Nicole Hoffmann |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346600970 PECOS PAC ID: 9032415815 Enrollment ID: I20160303001364 |
Provider Name | Kris Sutton |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689035784 PECOS PAC ID: 2163712241 Enrollment ID: I20160601002059 |
Provider Name | Jillian Ethridge-brown |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093252777 PECOS PAC ID: 8022392349 Enrollment ID: I20170306002547 |
Provider Name | Prajakta Mungikar |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1790109247 PECOS PAC ID: 6608135280 Enrollment ID: I20180108001004 |
Provider Name | Jeanine Michelle Weinkauf |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235624479 PECOS PAC ID: 2668724857 Enrollment ID: I20181017000676 |
Provider Name | Daniella Ellis |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528149531 PECOS PAC ID: 3577663012 Enrollment ID: I20210720003189 |
Arnold Family Medicine Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8 Arnold Mall, Arnold, MO 63010 Phone: 636-296-7510 Fax: 636-296-4041 | |
Compass Health, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 148 Richardson Xing, Arnold, MO 63010 Phone: 844-853-8937 | |
Therapeutic Playtime Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3488 Jeffco Blvd, Suite 102, Arnold, MO 63010 Phone: 636-464-5439 Fax: 636-464-5438 | |
Missouri Spine And Pain Management Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1765 Jeffco Blvd, Arnold, MO 63010 Phone: 636-333-3700 Fax: 636-333-3701 | |
Compass Health, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1845 Jeffco Blvd, Arnold, MO 63010 Phone: 844-853-8937 | |
Fox Comprehensive Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 849 Jeffco Blvd, Arnold, MO 63010 Phone: 636-287-0440 Fax: 636-333-1827 |