Westglen Family Physicians, Llc | |
225 Clarkson Rd Ellisville MO 63011-2278 | |
(366) 857-7156 | |
(314) 590-5944 |
Full Name | Westglen Family Physicians, Llc |
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Speciality | Family Medicine |
Location | 225 Clarkson Rd, Ellisville, Missouri |
Authorized Official Name and Position | James Snider (VP PHYSICIAN NETWORK) |
Authorized Official Contact | 6366857804 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Westglen Family Physicians, Llc 232 S Woods Mill Rd Chesterfield MO 63017-3406 Ph: (636) 685-7804 | Westglen Family Physicians, Llc 225 Clarkson Rd Ellisville MO 63011-2278 Ph: (366) 857-7156 |
NPI Number | 1114957354 |
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Provider Enumeration Date | 07/04/2006 |
Last Update Date | 07/17/2023 |
Medicare PECOS PAC ID | 3678506102 |
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Medicare Enrollment ID | O20050915000398 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114957354 | NPI | - | NPPES |
DE0423 | Other | MO | RR MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Barbara A Obrien |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1437211794 PECOS PAC ID: 4688573389 Enrollment ID: I20031231000671 |
Provider Name | Patricia L Pitman |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083915771 PECOS PAC ID: 1153519061 Enrollment ID: I20101220000444 |
Provider Name | Kellie Hopkins |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952709099 PECOS PAC ID: 4082938899 Enrollment ID: I20150128000331 |
Provider Name | Christine S Helmbrecht |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659743391 PECOS PAC ID: 4385948637 Enrollment ID: I20160205001543 |
Provider Name | Bryan Duepner |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1861912826 PECOS PAC ID: 1456620830 Enrollment ID: I20200721004041 |
Provider Name | William Koeppel |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1194162883 PECOS PAC ID: 5799900627 Enrollment ID: I20220829001299 |
Westglen Family Physicians, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 225 Clarkson Rd, Ellisville, MO 63011 Phone: 636-685-7715 Fax: 314-590-5916 | |
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Westglen Physicians, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 225 Clarkson Rd, Ellisville, MO 63011 Phone: 636-230-5050 Fax: 314-590-5916 |