| Summers Healthcare | |
|
3915 Watson Rd Ste 202 Saint Louis MO 63109-1251 | |
| (314) 267-9316 | |
| (888) 464-1108 |
| Full Name | Summers Healthcare |
|---|---|
| Speciality | Internal Medicine |
| Location | 3915 Watson Rd Ste 202, Saint Louis, Missouri |
| Authorized Official Name and Position | William Summers (PRESIDENT) |
| Authorized Official Contact | 3142679316 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Summers Healthcare 3915 Watson Rd Ste 202 Saint Louis MO 63109-1251 Ph: (314) 244-3818 | Summers Healthcare 3915 Watson Rd Ste 202 Saint Louis MO 63109-1251 Ph: (314) 267-9316 |
| NPI Number | 1841733078 |
|---|---|
| Provider Enumeration Date | 11/19/2016 |
| Last Update Date | 05/31/2024 |
| Medicare PECOS PAC ID | 5597049536 |
|---|---|
| Medicare Enrollment ID | O20170310002000 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841733078 | NPI | - | NPPES |
| 500039570 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 2007010580 (Missouri) | Primary |
| Provider Name | William C Summers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265471650 PECOS PAC ID: 0648224329 Enrollment ID: I20070724000735 |
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