| Carly Diane Walker, PA-C | |
|
611 N Central Ave, Eureka, MO 63025-1232 | |
| (636) 579-2882 | |
| Not Available |
| Full Name | Carly Diane Walker |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 6 Years |
| Location | 611 N Central Ave, Eureka, 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 |
|---|---|---|---|
| 1447870431 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 2021004154 (Missouri) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ssm Health Saint Louis University Hospital | Saint louis, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ssm Health Care Group | 0143608372 | 929 |
| Entity Name | Slh Physicians LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881668051 PECOS PAC ID: 9830132653 Enrollment ID: O20050602000941 |
| Entity Name | SSM Health Care Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306589544 PECOS PAC ID: 0143608372 Enrollment ID: O20220531002655 |
| Mailing Address | Practice Location Address |
|---|---|
| Carly Diane Walker, PA-C 43 Vesper Dr, Ellisville, MO 63011-2213 Ph: (636) 579-2882 | Carly Diane Walker, PA-C 611 N Central Ave, Eureka, MO 63025-1232 Ph: (636) 579-2882 |
Emily Coveney, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 20 The Legends Pkwy, Eureka, MO 63025 Phone: 636-938-3399 |
Claire Bartusch, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 20 The Legends Pkwy Ste 100, Eureka, MO 63025 Phone: 636-549-0121 Fax: 636-549-0122 |
Sarah Elisabeth Radecki, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 20 The Legends Pkwy Ste 100, Eureka, MO 63025 Phone: 636-549-0121 |
Kylie Anne Price, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 20 The Legends Pkwy, Eureka, MO 63025 Phone: 636-549-0121 |