| Jessica Lynn Gengler, DO | |
| 851 E 5th St, Washington, MO 63090 | |
| (636) 239-8585 | |
| (636) 239-8553 | 
| Full Name | Jessica Lynn Gengler | 
|---|---|
| Gender | Female | 
| Speciality | Pediatrics | 
| Location | 851 E 5th St, Washington, Missouri | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1629380522 | NPI | - | NPPES | 
| 015173300 | Medicaid | FL | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208000000X | Pediatrics | 5101018918 (Michigan) | Secondary | 
| 208000000X | Pediatrics | OS13423 (Florida) | Secondary | 
| 208000000X | Pediatrics | 2019001308 (Missouri) | Primary | 
| Entity Name | Mercy Hospitals East Communities | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1104912997 PECOS PAC ID: 3779479019 Enrollment ID: O20041019000757 | 
| Entity Name | Mercy Clinic East Communities | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1043574940 PECOS PAC ID: 7214827922 Enrollment ID: O20070521000058 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Jessica Lynn Gengler, DO 851 E 5th St, Washington, MO 63090-3135 Ph: (636) 239-8585 | Jessica Lynn Gengler, DO 851 E 5th St, Washington, MO 63090 Ph: (636) 239-8585 | 
| Dr. Douglas Don Durand, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 851 E. 5th St, Suite 300, Washington, MO 63090 Phone: 636-390-8555 Fax: 636-390-9444 | |
| Dr. Marissa Christine Stock, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 901 Patients First Dr, Washington, MO 63090 Phone: 636-231-3690 Fax: 636-231-3693 | |
| Dr. Kathleen A Bernhard, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 851 E 5th St, Washington, MO 63090 Phone: 636-239-8338 Fax: 636-239-8553 | |
| Dr. Timothy James Warren, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 901 Patients First Dr, Washington, MO 63090 Phone: 636-231-3690 | |
| Jerry H Allen, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 851 E 5th St, Ste 300, Washington, MO 63090 Phone: 636-390-8555 Fax: 636-390-9444 | |
| Mary H Feth,  Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 320 Jefferson St, Washington, MO 63090 Phone: 636-432-1560 Fax: 636-432-1563 |