| Alexa Evie Naceanceno, PA | |
|
1031 Bellevue Ave Ste 300, Saint Louis, MO 63117-1857 | |
| (314) 647-9444 | |
| (314) 647-7317 |
| Full Name | Alexa Evie Naceanceno |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 7 Years |
| Location | 1031 Bellevue Ave Ste 300, Saint Louis, Missouri |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952867731 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 085.007574 (Illinois) | Secondary |
| 363A00000X | Physician Assistant | 2020007934 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Hospital South | Saint louis, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| South County Endocrinology And Obesity Medicine Llc | 2668619669 | 3 |
| Entity Name | South County Endocrinology and Obesity Medicine LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144564196 PECOS PAC ID: 2668619669 Enrollment ID: O20130510000548 |
| Mailing Address | Practice Location Address |
|---|---|
| Alexa Evie Naceanceno, PA Po Box 23340, Saint Louis, MO 63156-3340 Ph: (314) 851-1000 | Alexa Evie Naceanceno, PA 1031 Bellevue Ave Ste 300, Saint Louis, MO 63117-1857 Ph: (314) 647-9444 |
Bryon Lucas Beck, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3009 N Ballas Rd, Building B, Suite 202, Saint Louis, MO 63131 Phone: 314-995-6893 |
Ms. Cheryl Anne Woolsey, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1 Barnes Jewish Hospital Plz, Div Im Medical Oncology, Saint Louis, MO 63110 Phone: 314-747-1171 Fax: 314-362-7086 |
Amanda Monteleone, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 621 S New Ballas Rd Ste 2015, Saint Louis, MO 63141 Phone: 314-251-1700 |
Taylor Nicole Melgar, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1 Jefferson Barracks Dr, Saint Louis, MO 63125 Phone: 314-652-4100 |
Kaitlyn Sturmer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10012 Kennerly Rd Ste 406, Saint Louis, MO 63128 Phone: 314-525-1224 Fax: 314-525-4957 |
Ms. Keeley Ferrell Ryan, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1201 S Grand Blvd, Saint Louis, MO 63104 Phone: 314-257-1320 |
Mr. Leslie Tharon Cranick, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 12345 W Bend Dr, Suite 200, Saint Louis, MO 63128 Phone: 314-843-8000 Fax: 314-843-3004 |