Miss Michele L Niemczyk, DO | |
1032 Crosswinds Ct, Wentzville, MO 63385-4836 | |
(844) 853-8937 | |
Not Available |
Full Name | Miss Michele L Niemczyk |
---|---|
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 |
---|---|---|---|
1083649024 | NPI | - | NPPES |
207489808 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 2005017812 (Missouri) | Primary |
Entity Name | Compass Health Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285619494 PECOS PAC ID: 1951206754 Enrollment ID: O20040408000955 |
Mailing Address | Practice Location Address |
---|---|
Miss Michele L Niemczyk, DO 1800 Community, Clinton, MO 64735-8804 Ph: (660) 885-8131 | Miss Michele L Niemczyk, DO 1032 Crosswinds Ct, Wentzville, MO 63385-4836 Ph: (844) 853-8937 |
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 | |
Iesha Schanae Draper, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 1032 Crosswinds Ct, Wentzville, MO 63385 Phone: 636-332-6000 | |
Mr. Peter Krewet, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1032 Crosswinds Ct, Wentzville, MO 63385 Phone: 636-332-6000 |