| Courtney M Sumners, PA | |
|
12266 De Paul Dr Ste 205, Bridgeton, MO 63044-2514 | |
| (314) 218-2300 | |
| Not Available |
| Full Name | Courtney M Sumners |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 12266 De Paul Dr Ste 205, Bridgeton, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700340320 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 2019002749 (Missouri) | Primary |
| Entity Name | SSM Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700966207 PECOS PAC ID: 6608776299 Enrollment ID: O20040729001034 |
| 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 | Mercy Clinic Surgical Specialists LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043530538 PECOS PAC ID: 1153455076 Enrollment ID: O20100813001038 |
| 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 | 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 |
|---|---|
| Courtney M Sumners, PA Po Box 955534, Saint Louis, MO 63195-5534 Ph: Not Available | Courtney M Sumners, PA 12266 De Paul Dr Ste 205, Bridgeton, MO 63044-2514 Ph: (314) 218-2300 |
Mr. Blessing Kudakwashe Tupiri, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12266 De Paul Dr Ste 205, Bridgeton, MO 63044 Phone: 314-647-8269 |
Laura Ann Fischer, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12349 Depaul Drive, Suite 100, Bridgeton, MO 63044 Phone: 314-291-7900 |
Spencer Blondeaux, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12409 Saint Charles Rock Rd, Bridgeton, MO 63044 Phone: 636-429-0999 |
Daniel Zackary Souvannarath, Physician Assistant Medicare: Medicare Enrolled Practice Location: 12266 De Paul Dr Ste 310, Bridgeton, MO 63044 Phone: 314-209-5171 |
Aida Junuzovic, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12266 Depaul Dr Suite 100, Bridgeton, MO 63044 Phone: 314-738-2770 |
Heather Ann Schmitz, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12266 De Paul Dr Ste 205, Bridgeton, MO 63044 Phone: 314-218-2300 |
Caroline Rose Hoffman, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12255 Depaul Drive, Suite 420, Bridgeton, MO 63044 Phone: 314-298-3893 Fax: 314-851-4408 |