| Prevention First Llc | |
|
11477 Olde Cabin Rd Ste 102 Creve Coeur MO 63141-7137 | |
| (314) 432-5144 | |
| (314) 432-2400 |
| Full Name | Prevention First Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 11477 Olde Cabin Rd Ste 102, Creve Coeur, Missouri |
| Authorized Official Name and Position | Usman Javaid (OWNER) |
| Authorized Official Contact | 3144325144 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prevention First Llc Po Box 410823 Saint Louis MO 63141-0823 Ph: (314) 432-5144 | Prevention First Llc 11477 Olde Cabin Rd Ste 102 Creve Coeur MO 63141-7137 Ph: (314) 432-5144 |
| NPI Number | 1639166184 |
|---|---|
| Provider Enumeration Date | 09/30/2005 |
| Last Update Date | 09/27/2023 |
| Medicare PECOS PAC ID | 7315987005 |
|---|---|
| Medicare Enrollment ID | O20050512000329 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639166184 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Usman T Javaid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104919992 PECOS PAC ID: 9537110358 Enrollment ID: I20050209000073 |
| Provider Name | Brenda D Bush |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316192610 PECOS PAC ID: 3577620020 Enrollment ID: I20091016000483 |
| Provider Name | Maurie D Tracy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053630103 PECOS PAC ID: 5496995417 Enrollment ID: I20130715000580 |
| Provider Name | Katina D Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245896893 PECOS PAC ID: 3274758479 Enrollment ID: I20210121002174 |
| Provider Name | Pamela A Byrne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881459196 PECOS PAC ID: 7214372648 Enrollment ID: I20240226001492 |
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