| Washington University Clinical Associates Llc | |
|
4921 Parkview Pl Ste 13a Saint Louis MO 63110-1032 | |
| (314) 333-4100 | |
| Not Available |
| Full Name | Washington University Clinical Associates Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4921 Parkview Pl, Saint Louis, Missouri |
| Authorized Official Name and Position | Cathy Eghigian (SR. DIRECTOR MANAGED CARE) |
| Authorized Official Contact | 3142730770 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Washington University Clinical Associates Llc 7425 Forsyth Blvd Campus Box 8221 Saint Louis MO 63105-2171 Ph: (314) 935-0770 | Washington University Clinical Associates Llc 4921 Parkview Pl Ste 13a Saint Louis MO 63110-1032 Ph: (314) 333-4100 |
| NPI Number | 1437188133 |
|---|---|
| Provider Enumeration Date | 07/03/2006 |
| Last Update Date | 10/15/2024 |
| Medicare PECOS PAC ID | 6002895893 |
|---|---|
| Medicare Enrollment ID | O20040715000764 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437188133 | NPI | - | NPPES |
| 507469906 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Michael A Berk |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1700802014 PECOS PAC ID: 2365414364 Enrollment ID: I20040810001148 |
| Provider Name | Donald Skor |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1831116391 PECOS PAC ID: 6709858665 Enrollment ID: I20040811000120 |
| Provider Name | John S Daniels |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104978964 PECOS PAC ID: 4284606997 Enrollment ID: I20040811001272 |
| Provider Name | Joy Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851321103 PECOS PAC ID: 9537250261 Enrollment ID: I20070809000092 |
| Provider Name | Nicole M Ducharme |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1346208394 PECOS PAC ID: 4789722752 Enrollment ID: I20091111000580 |
| Provider Name | Kevin L Konzen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033102702 PECOS PAC ID: 3870588239 Enrollment ID: I20160914001596 |
| Provider Name | Jessica E Henke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497201057 PECOS PAC ID: 5193013191 Enrollment ID: I20200322000071 |
| Provider Name | Nicholas Scott Yozamp |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1275914475 PECOS PAC ID: 1052626611 Enrollment ID: I20210809001652 |
| Provider Name | Mary Lee Morganite |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770156770 PECOS PAC ID: 3375929573 Enrollment ID: I20220926001031 |
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