| Abigail Groos, PA-C | |
|
1326 Clarkson Clayton Ctr, Ellisville, MO 63011-2145 | |
| (314) 293-4410 | |
| (314) 293-4412 |
| Full Name | Abigail Groos |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 1326 Clarkson Clayton Ctr, Ellisville, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356068894 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 2022037498 (Missouri) | Primary |
| Entity Name | Cep America LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619332046 PECOS PAC ID: 6608056171 Enrollment ID: O20150312000325 |
| Entity Name | Mercy East Ambulatory Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134673148 PECOS PAC ID: 2365739240 Enrollment ID: O20160920002054 |
| Mailing Address | Practice Location Address |
|---|---|
| Abigail Groos, PA-C 1326 Clarkson Clayton Ctr, Ellisville, MO 63011-2145 Ph: (314) 293-4410 | Abigail Groos, PA-C 1326 Clarkson Clayton Ctr, Ellisville, MO 63011-2145 Ph: (314) 293-4410 |
Kerry Joe James, SA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1398 Parkview Estates Dr, Ellisville, MO 63021 Phone: 314-392-3998 Fax: 618-883-2849 |
Jeanne Marie Ritchie, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 225 Clarkson Rd, Ellisville, MO 63011 Phone: 636-230-5050 Fax: 636-230-5057 |
Mr. Steve Paul Sigman, PHYSICIAN ASSISTANT Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1398 Parkview Estates Dr, Ellisville, MO 63021 Phone: 314-629-4262 |
Mr. Leonard Gerfield David, CSFA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1398 Parkview Estates Dr, Ellisville, MO 63021 Phone: 314-629-4262 |