| Weikart Healthcare Group Llc | |
|
1002 Peruque Crossing Ct Suite 101 O Fallon MO 63366-2362 | |
| (636) 294-5900 | |
| (636) 294-5908 |
| Full Name | Weikart Healthcare Group Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1002 Peruque Crossing Ct, O Fallon, Missouri |
| Authorized Official Name and Position | Kevin David Weikart (PRESIDENT) |
| Authorized Official Contact | 6362945900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Weikart Healthcare Group Llc 1002 Peruque Crossing Ct Suite 101 O Fallon MO 63366-2362 Ph: (636) 294-5900 | Weikart Healthcare Group Llc 1002 Peruque Crossing Ct Suite 101 O Fallon MO 63366-2362 Ph: (636) 294-5900 |
| NPI Number | 1790057230 |
|---|---|
| Provider Enumeration Date | 01/30/2012 |
| Last Update Date | 01/30/2012 |
| Medicare PECOS PAC ID | 1456512383 |
|---|---|
| Medicare Enrollment ID | O20120419000481 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790057230 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | R5G33 (Missouri) | Primary |
| Provider Name | Kevin David Weikart |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902864986 PECOS PAC ID: 7719981968 Enrollment ID: I20060831000294 |
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