| 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 | 3 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 |
|---|---|---|
| Mcpherson Medical And Diagnostic Llc | 5698773539 | 88 |
| Theoria Medical | 5395098339 | 317 |
| Karefirst Missouri Pc | 1052605383 | 12 |
| Mercy Clinic Adult Hospitalists Jefferson Llc | 8628205598 | 58 |
| Physician Specialists Of St Lukes Llc | 1557366960 | 77 |
| Missouri Hb Medical Services Llc | 2668813197 | 77 |
| Midwest Med Care Llc | 2062832181 | 7 |
| Entity Name | Physician Specialists of St. Luke's, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235168410 PECOS PAC ID: 1557366960 Enrollment ID: O20060918000462 |
| Entity Name | Mcpherson Medical & Diagnostic LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003407883 PECOS PAC ID: 5698773539 Enrollment ID: O20061201000167 |
| 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 | Butler Physician Services, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982056545 PECOS PAC ID: 6608164561 Enrollment ID: O20161007001160 |
| Entity Name | Midwest Med Care LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215548102 PECOS PAC ID: 2062832181 Enrollment ID: O20201012001268 |
| Entity Name | Missouri Medical Providers LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043817323 PECOS PAC ID: 2365855913 Enrollment ID: O20201229000683 |
| Entity Name | Missouri HB Medical Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922868462 PECOS PAC ID: 2668813197 Enrollment ID: O20240514004087 |
| Entity Name | Theoria Medical |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609362375 PECOS PAC ID: 5395098339 Enrollment ID: O20240919002593 |
| Entity Name | Provider Partners Care Management LP |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013348028 PECOS PAC ID: 9335379270 Enrollment ID: O20250214001888 |
| Entity Name | Complexcare Medical Group Midwest M PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528851607 PECOS PAC ID: 1355858630 Enrollment ID: O20250904000229 |
| Entity Name | Complexcare Medical Group Midwest H PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457144933 PECOS PAC ID: 0143737148 Enrollment ID: O20251114003499 |
| 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: Accepting Medicare Assignments 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 |
Muhammad Idrees, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments 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 |
Kathryn Emily Sitki, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4801 Weldon Spring Pkwy, Weldon Spring, MO 63304 Phone: 636-723-9306 |
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 |