| Dr Kris Ann Roberts, DO | |
|
100 Brevco Plz, Ste 101, Lake Saint Louis, MO 63367-1382 | |
| (636) 561-5437 | |
| (636) 561-5100 |
| Full Name | Dr Kris Ann Roberts |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 100 Brevco Plz, Lake Saint Louis, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770564163 | NPI | - | NPPES |
| 200009634 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 2013034100 (Missouri) | Primary |
| Entity Name | Hinton Healthcare Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760626147 PECOS PAC ID: 8123178753 Enrollment ID: O20090602000628 |
| Entity Name | Wuca-westside Pediatrics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700325123 PECOS PAC ID: 6507141074 Enrollment ID: O20170323002293 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kris Ann Roberts, DO Po Box 7412119, Chicago, IL 60674-2119 Ph: (636) 561-5437 | Dr Kris Ann Roberts, DO 100 Brevco Plz, Ste 101, Lake Saint Louis, MO 63367-1382 Ph: (636) 561-5437 |
Kendrick J Williams, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Medical Plz, Lake Saint Louis, MO 63367 Phone: 636-625-5300 | |
Connor Scott Corcoran, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Medical Plz, Lake Saint Louis, MO 63367 Phone: 314-628-4095 | |
Jason Gutting, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Medical Plz, Lake Saint Louis, MO 63367 Phone: 636-625-5200 | |
Dr. Richard A Felkel, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Brevco Plz, Ste 101, Lake Saint Louis, MO 63367 Phone: 636-561-5437 Fax: 636-561-5100 |