| Wuca-nash Pediatrics, Llc | |
|
3737 N Kingshighway Blvd Suite 209 Saint Louis MO 63115-1736 | |
| (314) 261-5250 | |
| (314) 261-4567 |
| Full Name | Wuca-nash Pediatrics, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3737 N Kingshighway Blvd, Saint Louis, Missouri |
| Authorized Official Name and Position | Cathy Eghigian (DIRECTOR) |
| Authorized Official Contact | 3142730770 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wuca-nash Pediatrics, Llc 3737 N Kingshighway Blvd Suite 209 Saint Louis MO 63115-1736 Ph: (314) 261-5250 | Wuca-nash Pediatrics, Llc 3737 N Kingshighway Blvd Suite 209 Saint Louis MO 63115-1736 Ph: (314) 261-5250 |
| NPI Number | 1164882775 |
|---|---|
| Provider Enumeration Date | 02/25/2016 |
| Last Update Date | 03/15/2016 |
| Medicare PECOS PAC ID | 5193004828 |
|---|---|
| Medicare Enrollment ID | O20161121000096 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164882775 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Andrea L Mouldon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942508783 PECOS PAC ID: 5698054237 Enrollment ID: I20161122001479 |
| Provider Name | Alison C Nash |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457420366 PECOS PAC ID: 6204965106 Enrollment ID: I20161122001595 |
| Provider Name | Dianne R Schmidt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194895714 PECOS PAC ID: 5395024954 Enrollment ID: I20161122002056 |
| Provider Name | Kimberly Tracy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366002743 PECOS PAC ID: 1557797685 Enrollment ID: I20200207001158 |
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 |