| Dirk E Roberts, RNFA, FNP-C | |
|
1390 Us Highway 61 Ste N1500, Crystal Cty, MO 63028-4137 | |
| (636) 933-8050 | |
| (636) 933-8047 |
| Full Name | Dirk E Roberts |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 11 Years |
| Location | 1390 Us Highway 61 Ste N1500, Crystal Cty, Missouri |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083015382 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 2015025676 (Missouri) | Primary |
| 163W00000X | Registered Nurse | 151527 (Missouri) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Louis Pain Center Llc | 2466809645 | 2 |
| Entity Name | St Louis Pain Center LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992587968 PECOS PAC ID: 2466809645 Enrollment ID: O20231109000774 |
| Mailing Address | Practice Location Address |
|---|---|
| Dirk E Roberts, RNFA, FNP-C 1390 Us Highway 61 Ste N1500, Crystal Cty, MO 63028-4137 Ph: (636) 933-8050 | Dirk E Roberts, RNFA, FNP-C 1390 Us Highway 61 Ste N1500, Crystal Cty, MO 63028-4137 Ph: (636) 933-8050 |
Ms. Alexandria Colleen Grodie, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1420 Us Highway 61, Crystal Cty, MO 63028 Phone: 636-543-2230 Fax: 636-543-2231 |
Halie Rianne Scheffler, MSN-FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1377 Us Highway 61 Ste 100, Crystal Cty, MO 63028 Phone: 636-933-8940 Fax: 636-933-8941 |
Patricia Sue Firle, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1400 Us Highway 61, Crystal Cty, MO 63028 Phone: 636-933-5337 Fax: 636-933-8090 |
Melody Kay Willis, MSN, RN, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1420 Us Highway 61, Crystal Cty, MO 63028 Phone: 636-543-2230 Fax: 636-543-2231 |
Makaria Kenzie Mcmullen, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1390 Us Highway 61 Ste N1500, Crystal Cty, MO 63028 Phone: 636-933-8050 Fax: 636-933-8047 |
Mrs. Amber Marie Owens, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1390 Us Highway 61 Ste N3300, Crystal Cty, MO 63028 Phone: 636-937-8675 Fax: 636-933-1981 |
Brandy Michelle Koch, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1390 Us Highway 61 Ste N1500, Crystal Cty, MO 63028 Phone: 636-931-5080 |