| Charles Phelan, | |
|
615 S New Ballas Rd, Creve Coeur, MO 63141-8221 | |
| (314) 251-6000 | |
| Not Available |
| Full Name | Charles Phelan |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Acute Care |
| Location | 615 S New Ballas Rd, Creve Coeur, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467275487 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 2015045012 (Missouri) | Secondary |
| 363LA2100X | Nurse Practitioner - Acute Care | 2024049964 (Missouri) | Primary |
| Entity Name | Mercy Clinic Adult Hospitalists - St. Louis, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841235108 PECOS PAC ID: 6002809944 Enrollment ID: O20040406001004 |
| Entity Name | St Anthonys Physician Organization Hospitalist Services Lc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407216336 PECOS PAC ID: 5092980656 Enrollment ID: O20111208000771 |
| Mailing Address | Practice Location Address |
|---|---|
| Charles Phelan, 615 S New Ballas Rd, Saint Louis, MO 63141-8221 Ph: (844) 735-4710 | Charles Phelan, 615 S New Ballas Rd, Creve Coeur, MO 63141-8221 Ph: (314) 251-6000 |
Meghan M Moore, MSN, AGACNP, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 621 S New Ballas Rd Ste 112a, Creve Coeur, MO 63141 Phone: 314-251-6339 Fax: 314-251-4564 | |
Jacob Thomas Baker, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 650 Maryville University Dr, Creve Coeur, MO 63141 Phone: 800-627-9855 | |
Mrs. Michele F. Salvatore, WHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 555 N New Ballas Rd Ste 240, Creve Coeur, MO 63141 Phone: 314-842-0340 Fax: 314-842-0742 | |
April Lorraine Taylor, MSN, NNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 615 S New Ballas Rd, Creve Coeur, MO 63141 Phone: 314-251-6000 | |
Marie M Webb, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 650 Maryville University Dr, Creve Coeur, MO 63141 Phone: 800-627-9855 | |
Brittany Wort, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11560 Olive Blvd, Creve Coeur, MO 63141 Phone: 314-995-7128 | |
Machalle Akhtar Mughal, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11560 Olive Blvd, Creve Coeur, MO 63141 Phone: 314-995-7128 |