| Iesha Schanae Draper, DO | |
|
1032 Crosswinds Ct, Wentzville, MO 63385-4836 | |
| (636) 332-6000 | |
| Not Available |
| Full Name | Iesha Schanae Draper |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 1032 Crosswinds Ct, Wentzville, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730541202 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 2019024441 (Missouri) | Primary |
| Entity Name | Affinia Healthcare |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902816077 PECOS PAC ID: 1052386919 Enrollment ID: O20040902000048 |
| Mailing Address | Practice Location Address |
|---|---|
| Iesha Schanae Draper, DO 1800 Community, Clinton, MO 64735-8804 Ph: (660) 890-8156 | Iesha Schanae Draper, DO 1032 Crosswinds Ct, Wentzville, MO 63385-4836 Ph: (636) 332-6000 |
Nancy Bauer, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1032 Crosswinds Ct, Wentzville, MO 63385 Phone: 636-332-6000 | |
Dr. Melissa Marie Rickerson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1502 West Meyer Road, Wentzville, MO 63385 Phone: 636-698-6200 Fax: 636-698-6222 | |
Heather Robin Joyce, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1502 West Meyer Rd, Wentzville, MO 63385 Phone: 636-698-6200 | |
Mr. Peter Krewet, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1032 Crosswinds Ct, Wentzville, MO 63385 Phone: 636-332-6000 |