| Dr Kenneth Charles Levy, MD | |
| 226 S Woods Mill Rd, Ste 36w, Chesterfield, MO 63017-3662 | |
| (314) 453-9666 | |
| (314) 453-9895 | 
| Full Name | Dr Kenneth Charles Levy | 
|---|---|
| Gender | Male | 
| Speciality | Pediatrics | 
| Location | 226 S Woods Mill Rd, Chesterfield, Missouri | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1467465443 | NPI | - | NPPES | 
| 209867902 | Medicaid | MO | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208000000X | Pediatrics | R1P16 (Missouri) | Primary | 
| Entity Name | Wuca - Woodsmill Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1023561156 PECOS PAC ID: 7911288337 Enrollment ID: O20161227000038 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Kenneth Charles Levy, MD Po Box 7412041, Chicago, IL 60674-2041 Ph: (314) 453-9666 | Dr Kenneth Charles Levy, MD 226 S Woods Mill Rd, Ste 36w, Chesterfield, MO 63017-3662 Ph: (314) 453-9666 | 
| Dr. John Laurance Hoerr, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 226 S Woods Mill Rd Ste 32w, Chesterfield, MO 63017 Phone: 314-576-1616 | |
| Dr. Katherine L Komendowski, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 226 S Woods Mill Rd, Ste 36w, Chesterfield, MO 63017 Phone: 314-453-9666 Fax: 314-453-9895 | |
| Mohamad Al-hosni, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 14443 White Birch Valley Ln, Chesterfield, MO 63017 Phone: 314-629-5671 | |
| Dr. Robert James Profumo, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1308 Westchester Manor Ln, Chesterfield, MO 63005 Phone: 314-432-9270 Fax: 314-432-9271 | |
| Thomas Mckinney, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 226 S Woods Mill Rd Ste 32w, Chesterfield, MO 63017 Phone: 314-576-1616 Fax: 314-576-5271 | |
| Bien Zhang, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 232 S Woods Mill Rd, Chesterfield, MO 63017 Phone: 314-542-4897 | |
| Dr. Janet G Mueller, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 13001 N Outer 40 Rd, Ste 340, Chesterfield, MO 63017 Phone: 314-454-6444 Fax: 314-454-6445 |