| Douglas Mayo, | |
|
1051 Wolfrum Rd, Weldon Spring, MO 63304-7625 | |
| (636) 300-0370 | |
| Not Available |
| Full Name | Douglas Mayo |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 1051 Wolfrum Rd, Weldon Spring, Missouri |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942674254 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 2015032884 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Hospital Lincoln | Troy, MO | Hospital |
| Mercy Hospital St Louis | Saint louis, MO | Hospital |
| St Lukes Hospital | Chesterfield, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Emergency Physicians Of St Lukes Llc | 3779714142 | 58 |
| Mercy Hospital Lincoln | 5193040020 | 25 |
| Entity Name | Our Urgent Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902815863 PECOS PAC ID: 5799782496 Enrollment ID: O20061020000531 |
| Entity Name | Emergency Physicians Of St Lukes Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215359815 PECOS PAC ID: 3779714142 Enrollment ID: O20140327001965 |
| Entity Name | Mercy Hospital Lincoln |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962808733 PECOS PAC ID: 5193040020 Enrollment ID: O20150623002541 |
| Mailing Address | Practice Location Address |
|---|---|
| Douglas Mayo, 50 Whitehaven Ct, Saint Charles, MO 63304-6969 Ph: (314) 683-0337 | Douglas Mayo, 1051 Wolfrum Rd, Weldon Spring, MO 63304-7625 Ph: (636) 300-0370 |
Sarah Elizabeth Lednick, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4801 Weldon Spring Pkwy, Weldon Spring, MO 63304 Phone: 636-441-7300 | |
Mrs. Lynn Marie Stark, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4801 Weldon Spring Pkwy # 300, Weldon Spring, MO 63304 Phone: 636-949-5760 | |
Dr. Goodluck Chibuike Okereke, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4801 Weldon Spring Pkwy, Weldon Spring, MO 63304 Phone: 800-345-5407 Fax: 636-386-5386 | |
Ebony Cassandra Sudduth, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4801 Weldon Spring Pkwy, Weldon Spring, MO 63304 Phone: 636-441-7300 | |
Amanda Maria Kearney, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4801 Weldon Spring Pkwy Ste 300, Weldon Spring, MO 63304 Phone: 636-949-5760 Fax: 866-440-9231 | |
Emmanuelson Chukwuyem, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4801 Weldon Spring Pkwy, Weldon Spring, MO 63304 Phone: 800-345-5407 Fax: 636-386-5386 | |
Mrs. Christina Sophia Mitchell, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4801 Weldon Spring Pkwy # 300, Weldon Spring, MO 63304 Phone: 636-949-5760 |