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1120 Shackelford Rd Florissant MO 63031 | |
(314) 921-4420 | |
(314) 921-6086 |
Full Name | |
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Speciality | Durable Medical Equipment & Medical Supplies |
Location | 1120 Shackelford Rd, Florissant, Missouri |
Authorized Official Name and Position | Karen Rewerts (VP FINANCIAL OPERATIONS) |
Authorized Official Contact | 3149892034 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 955534 Saint Louis MO 63195-5534 Ph: () - | 1120 Shackelford Rd Florissant MO 63031 Ph: (314) 921-4420 |
NPI Number | 1194736116 |
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Provider Enumeration Date | 08/11/2006 |
Last Update Date | 08/18/2020 |
Medicare PECOS PAC ID | 6608776299 |
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Medicare Enrollment ID | O20180922000132 |
Identifier | Type | State | Issuer |
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1194736116 | NPI | - | NPPES |
Kim Lee Mcdonald, M.d., P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4585 Washington St, Suite C4, Florissant, MO 63033 Phone: 314-838-8839 Fax: 314-838-4291 | |
Chambers Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3533 Dunn Rd, Suite 204, Florissant, MO 63033 Phone: 314-831-2600 Fax: 314-831-5393 | |
Chandra S. Kaup,m.d.,p.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1224 Graham Rd, Suite 2006, Florissant, MO 63031 Phone: 314-830-5233 Fax: 314-830-5225 | |