| Wuca-maryland Medical | |
|
1110 Highlands Plaza Dr E Suite 375 Saint Louis MO 63110-1350 | |
| (314) 367-3113 | |
| (314) 454-9382 |
| Full Name | Wuca-maryland Medical |
|---|---|
| Speciality | Clinic/Center |
| Location | 1110 Highlands Plaza Dr E, Saint Louis, Missouri |
| Authorized Official Name and Position | Cathy Eghigian (DIRECTOR, CREDENTIALING OPERATIONS) |
| Authorized Official Contact | 3149350770 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wuca-maryland Medical 1110 Highlands Plaza Dr E Suite 375 Saint Louis MO 63110-1350 Ph: (314) 367-3113 | Wuca-maryland Medical 1110 Highlands Plaza Dr E Suite 375 Saint Louis MO 63110-1350 Ph: (314) 367-3113 |
| NPI Number | 1376869255 |
|---|---|
| Provider Enumeration Date | 04/16/2010 |
| Last Update Date | 05/14/2010 |
| Medicare PECOS PAC ID | 4183756356 |
|---|---|
| Medicare Enrollment ID | O20100723000377 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376869255 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Scott P Wasserstrom |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184679961 PECOS PAC ID: 8820028830 Enrollment ID: I20050819000147 |
| Provider Name | Thomas J Bartholet |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750325742 PECOS PAC ID: 3779595806 Enrollment ID: I20080226000683 |
| Provider Name | Rebecca J Whiffen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245453836 PECOS PAC ID: 6901964097 Enrollment ID: I20081017000478 |
| Provider Name | Scott D Groesch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538107404 PECOS PAC ID: 3577561430 Enrollment ID: I20090107000619 |
| Provider Name | William G Bowen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1609815950 PECOS PAC ID: 2769480623 Enrollment ID: I20100723000514 |
| Provider Name | Lauren M Ludwig |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073775052 PECOS PAC ID: 2062682081 Enrollment ID: I20110831000275 |
| Provider Name | Matthew J Bonzelet |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861626574 PECOS PAC ID: 0840440004 Enrollment ID: I20121024000262 |
| Provider Name | Chelsea Elizabeth Pearson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407295512 PECOS PAC ID: 9537398821 Enrollment ID: I20170126000607 |
| Provider Name | Yogitha Srilu Potini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245625789 PECOS PAC ID: 7517270739 Enrollment ID: I20200903002401 |
| Provider Name | Alecia Welvers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225681802 PECOS PAC ID: 0648607820 Enrollment ID: I20201117001777 |
| Provider Name | Megan K Bagheri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700275120 PECOS PAC ID: 2264750041 Enrollment ID: I20201204000279 |
St. Louis Center For Preventive And Longevity Medicine, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 777 S New Ballas Rd, Suite 200 E, Saint Louis, MO 63141 Phone: 314-994-1536 Fax: 314-692-0241 | |
Town And Country Primary Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3009 N Ballas Rd, Suite 300a, Saint Louis, MO 63131 Phone: 314-872-8999 | |
Family Care Health Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 Lynch St, Saint Louis, MO 63118 Phone: 314-531-5444 Fax: 314-531-0063 | |
Wusm Bjc Aco Providers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 660 S Euclid Ave, Campus Box 8081, Saint Louis, MO 63110 Phone: 314-273-0770 | |
Victus Physician Services, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12607 Olive Blvd, Saint Louis, MO 63141 Phone: 314-327-8070 | |
Salvation Army Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2900 Washington Ave, Saint Louis, MO 63103 Phone: 314-898-1700 Fax: 314-814-8542 | |
Dtg Ii Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3819 Tesson Ct, Saint Louis, MO 63123 Phone: 800-268-7713 Fax: 415-704-3294 |