| Amy Weckherlin, | |
| 261 Avalon Hills Dr, Fenton, MO 63026-2698 | |
| (636) 225-7471 | |
| Not Available | 
| Full Name | Amy Weckherlin | 
|---|---|
| Gender | Female | 
| Speciality | Physical Medicine & Rehabilitation | 
| Location | 261 Avalon Hills Dr, Fenton, Missouri | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1437526571 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 2000154580 (Missouri) | Primary | 
| Entity Name | Aegis Group Practice Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1558819508 PECOS PAC ID: 5193036432 Enrollment ID: O20161109000544 | 
| Entity Name | Legacy Healthcare Services Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1407487366 PECOS PAC ID: 2163339722 Enrollment ID: O20200327001604 | 
| Entity Name | Rehabsuite Inc | 
|---|---|
| Entity Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice | 
| Entity Identifiers | NPI Number: 1184319154 PECOS PAC ID: 1254799745 Enrollment ID: O20240307001784 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Amy Weckherlin, 261 Avalon Hills Dr, Fenton, MO 63026-2698 Ph: (636) 225-7471 | Amy Weckherlin, 261 Avalon Hills Dr, Fenton, MO 63026-2698 Ph: (636) 225-7471 | 
| Taylor Halteman, DPT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1015 Bowles Ave, Fenton, MO 63026 Phone: 636-496-2430 | |
| Dr. Adam Shomstein, D.O. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 520 Center St, Fenton, MO 63026 Phone: 314-516-3289 |