| Emmanuelson Chukwuyem, APRN | |
|
4801 Weldon Spring Pkwy, Weldon Spring, MO 63304-9101 | |
| (800) 345-5407 | |
| (636) 386-5386 |
| Full Name | Emmanuelson Chukwuyem |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 2 Years |
| Location | 4801 Weldon Spring Pkwy, 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 |
|---|---|---|---|
| 1275396376 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 2024004076 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Lukes Hospital | Chesterfield, MO | Hospital |
| Mercy Hospital Jefferson | Festus, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Karefirst Missouri Pc | 1052605383 | 14 |
| Physician Specialists Of St Lukes Llc | 1557366960 | 85 |
| Mercy Clinic Adult Hospitalists Jefferson Llc | 8628205598 | 49 |
| Entity Name | Physician Specialists Of St Lukes Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235168410 PECOS PAC ID: 1557366960 Enrollment ID: O20060918000462 |
| Entity Name | Mercy Clinic Adult Hospitalists Jefferson Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083052492 PECOS PAC ID: 8628205598 Enrollment ID: O20131220001798 |
| Entity Name | Karefirst Missouri Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942658943 PECOS PAC ID: 1052605383 Enrollment ID: O20160810000682 |
| 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 |
|---|---|
| Emmanuelson Chukwuyem, APRN Po Box 1449, Maryland Heights, MO 63043-0449 Ph: (800) 345-5407 | Emmanuelson Chukwuyem, APRN 4801 Weldon Spring Pkwy, Weldon Spring, MO 63304-9101 Ph: (800) 345-5407 |
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 | |
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 |