| Py Medical Services Of Mo Pc | |
|
10954 Kennerly Rd Saint Louis MO 63128-2018 | |
| (314) 843-4242 | |
| Not Available |
| Full Name | Py Medical Services Of Mo Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 10954 Kennerly Rd, Saint Louis, Missouri |
| Authorized Official Name and Position | Peyman Younesi (OWNER) |
| Authorized Official Contact | 7187090940 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Py Medical Services Of Mo Pc 3438 Bell Blvd Ste 301 Bayside NY 11361-1739 Ph: (718) 709-0940 | Py Medical Services Of Mo Pc 10954 Kennerly Rd Saint Louis MO 63128-2018 Ph: (314) 843-4242 |
| NPI Number | 1316799042 |
|---|---|
| Provider Enumeration Date | 04/04/2024 |
| Last Update Date | 06/06/2024 |
| Medicare PECOS PAC ID | 4284075904 |
|---|---|
| Medicare Enrollment ID | O20240513002762 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316799042 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Kathryn L Ries |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275071326 PECOS PAC ID: 4486930203 Enrollment ID: I20170411000058 |
| Provider Name | Denita Wilkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619361078 PECOS PAC ID: 0446659411 Enrollment ID: I20210524001825 |
| Provider Name | Peyman Younesi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891942645 PECOS PAC ID: 0345420790 Enrollment ID: I20240513002936 |
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