| West County Internal Medicine Llc | |
|
16216 Baxter Rd Ste 320 Chesterfield MO 63017-4778 | |
| (636) 391-1706 | |
| (636) 391-1201 |
| Full Name | West County Internal Medicine Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 16216 Baxter Rd Ste 320, Chesterfield, Missouri |
| Authorized Official Name and Position | Patricia Pawlikowski (OWNER) |
| Authorized Official Contact | 6363911706 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| West County Internal Medicine Llc 16216 Baxter Rd Ste 320 Chesterfield MO 63017-4778 Ph: (636) 391-1706 | West County Internal Medicine Llc 16216 Baxter Rd Ste 320 Chesterfield MO 63017-4778 Ph: (636) 391-1706 |
| NPI Number | 1225658040 |
|---|---|
| Provider Enumeration Date | 04/22/2020 |
| Last Update Date | 04/22/2020 |
| Medicare PECOS PAC ID | 8820412414 |
|---|---|
| Medicare Enrollment ID | O20200713002644 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225658040 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Roque S Ramos |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1609815240 PECOS PAC ID: 5496642076 Enrollment ID: I20061024000147 |
| Provider Name | Maria P Pawlikowski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861658619 PECOS PAC ID: 4587824362 Enrollment ID: I20120402000564 |
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