| Elizabeth Lee, PA-C | |
|
15740 S Outer 40 Rd, Chesterfield, MO 63017 | |
| (636) 237-4700 | |
| Not Available |
| Full Name | Elizabeth Lee |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 15740 S Outer 40 Rd, Chesterfield, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922422013 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 0010-04906 (North Carolina) | Primary |
| 207R00000X | Internal Medicine | 2018039122 (Missouri) | Secondary |
| Entity Name | Mercy Clinic Springfield Communities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245277631 PECOS PAC ID: 7416865845 Enrollment ID: O20031104000060 |
| Entity Name | Mercy Clinic Springfield Communities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972771657 PECOS PAC ID: 7416865845 Enrollment ID: O20031218000354 |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Lee, PA-C 30 Country Fair Ln, Saint Louis, MO 63141-7805 Ph: (925) 317-2078 | Elizabeth Lee, PA-C 15740 S Outer 40 Rd, Chesterfield, MO 63017 Ph: (636) 237-4700 |
Raquel K Russo, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 13353 Olive Blvd, Chesterfield, MO 63017 Phone: 636-778-2900 Fax: 636-778-2828 |
Delaney Kathleen Dick, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 111 Saint Lukes Center Dr Bldg B, Chesterfield, MO 63017 Phone: 314-205-1926 |
Ciara Harvey, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 224 S Woods Mill Rd # 330, Chesterfield, MO 63017 Phone: 314-576-7013 |
Mr. Michael Allan Raethka, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 14532 S Outer 40 Rd, Dept Orthopaedic Surgery, Ste 200, Chesterfield, MO 63017 Phone: 314-514-3500 Fax: 314-878-7678 |
Mrs. Ashley Carolyn Reedy, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 14825 N Outer Forty Rd Ste 310, Chesterfield, MO 63017 Phone: 314-442-4452 Fax: 866-216-3928 |
Ms. Courtney Ann Wagner, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 16100 Chesterfield Pkwy W Ste 175, Chesterfield, MO 63017 Phone: 314-735-0780 Fax: 314-735-1625 |
Emily Visonnavong, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 226 S Woods Mill Rd Ste 35, Chesterfield, MO 63017 Phone: 314-548-6860 Fax: 314-548-6866 |