| Weston Family Clinic | |
|
18215 State Route 45 N Weston MO 64098-9101 | |
| (816) 640-2762 | |
| (816) 640-5564 |
| Full Name | Weston Family Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 18215 State Route 45 N, Weston, Missouri |
| Authorized Official Name and Position | Janice E Chenoweth (OFFICE MANAGER) |
| Authorized Official Contact | 8166402762 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Weston Family Clinic Po Box 40 Weston MO 64098-0040 Ph: (816) 640-2762 | Weston Family Clinic 18215 State Route 45 N Weston MO 64098-9101 Ph: (816) 640-2762 |
| NPI Number | 1467519058 |
|---|---|
| Provider Enumeration Date | 01/02/2007 |
| Last Update Date | 10/12/2020 |
| Medicare PECOS PAC ID | 3870595572 |
|---|---|
| Medicare Enrollment ID | O20070209000063 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467519058 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | R1J75 (Missouri) | Primary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| Provider Name | Beth L Booker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609920891 PECOS PAC ID: 9931177292 Enrollment ID: I20040923000807 |
| Provider Name | Debra C Keith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912012618 PECOS PAC ID: 5496752834 Enrollment ID: I20061027000409 |