| Kelli Marie Dix-rosen, | |
|
10279 Business 21, Hillsboro, MO 63050-3598 | |
| (636) 677-6200 | |
| Not Available |
| Full Name | Kelli Marie Dix-rosen |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 10279 Business 21, Hillsboro, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578338828 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 2024000069 (Missouri) | Primary |
| Entity Name | Medwin Primary Care L.L.C. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376552067 PECOS PAC ID: 0446203236 Enrollment ID: O20050221000570 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelli Marie Dix-rosen, 2246 Carlton Dr, Festus, MO 63028-3806 Ph: (636) 208-1378 | Kelli Marie Dix-rosen, 10279 Business 21, Hillsboro, MO 63050-3598 Ph: (636) 677-6200 |
Samantha Mueller, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4 Hickory Ridge Rd Ste 600, Hillsboro, MO 63050 Phone: 636-481-6040 |
Kaitlyn Strzelecki, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5 Algonquin Cir, Hillsboro, MO 63050 Phone: 314-922-4813 |
Mrs. Ashley Elizabeth Scaglione, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10279 Business 21, Hillsboro, MO 63050 Phone: 636-789-3941 |
Tonya Taber, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4 Hickory Ridge Rd, Hillsboro, MO 63050 Phone: 636-481-6040 |
Mackenzie Lynn Roth, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5194 Jeremiah Blvd, Hillsboro, MO 63050 Phone: 636-543-2328 Fax: 636-543-2329 |
Nikkole Kleekamp, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4 Hickory Ridge Rd Ste 600, Hillsboro, MO 63050 Phone: 636-481-6040 |