| Ms Amy R Bohm, PNP | |
|
1520 Wentzville Pkwy, Wentzville, MO 63385-3408 | |
| (636) 497-4055 | |
| Not Available |
| Full Name | Ms Amy R Bohm |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Pediatrics |
| Location | 1520 Wentzville Pkwy, 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 |
|---|---|---|---|
| 1326426560 | NPI | - | NPPES |
| 420039759 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0200X | Nurse Practitioner - Pediatrics | 2016033617 (Missouri) | Primary |
| Entity Name | Physician Groups Lc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285664268 PECOS PAC ID: 3072421254 Enrollment ID: O20040220001157 |
| Entity Name | Washington University |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194765685 PECOS PAC ID: 9830008770 Enrollment ID: O20040607000287 |
| Entity Name | Mercy Aco Clinical Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063965093 PECOS PAC ID: 6901188572 Enrollment ID: O20170117001888 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Amy R Bohm, PNP Po Box 7412011, Chicago, IL 60674-2011 Ph: (314) 454-2341 | Ms Amy R Bohm, PNP 1520 Wentzville Pkwy, Wentzville, MO 63385-3408 Ph: (636) 497-4055 |
Ebitari 0 Fregene, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 115 Golden Gate Pkwy, Wentzville, MO 63385 Phone: 314-397-7219 | |
Jordan Lee Edwards, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 105 Creekside Office Dr, Wentzville, MO 63385 Phone: 636-625-5200 | |
Eileen Royal, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1890 Wentzville Pkwy, Wentzville, MO 63385 Phone: 636-887-2667 | |
Monica Washburn, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1603 Wentzville Pkwy, Wentzville, MO 63385 Phone: 844-776-7200 | |
Elizabeth Johnson, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1111 W Pearce Blvd, Wentzville, MO 63385 Phone: 636-887-3020 Fax: 636-887-3022 | |
Abigail Marie Anderson Schroer, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1598 W Meyer Rd, Wentzville, MO 63385 Phone: 636-332-8228 | |
Mrs. Patricia Ann Rapplean, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 Medical Dr, 106, Wentzville, MO 63385 Phone: 636-639-6262 Fax: 636-639-1375 |