| Mark Ryan Eckelkamp, | |
|
2024 Dorsett Vlg, Maryland Heights, MO 63043-2208 | |
| (314) 590-0550 | |
| Not Available |
| Full Name | Mark Ryan Eckelkamp |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 2 Years |
| Location | 2024 Dorsett Vlg, Maryland Heights, 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 |
|---|---|---|---|
| 1437943628 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 2025005261 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ssm Health Depaul Hospital St Louis | Bridgeton, MO | Hospital |
| Ssm Health Rehabilitation Hospital | Richmond heights, MO | Inpatient rehabilitation facility |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ssm Medical Group Inc | 6608776299 | 565 |
| Entity Name | SSM Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700966207 PECOS PAC ID: 6608776299 Enrollment ID: O20040729001034 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Ryan Eckelkamp, 9127 Coral Dr, Saint Louis, MO 63123-4503 Ph: (314) 625-0884 | Mark Ryan Eckelkamp, 2024 Dorsett Vlg, Maryland Heights, MO 63043-2208 Ph: (314) 590-0550 |
Michelle L Piole, CPNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11365 Dorsett Rd, Maryland Heights, MO 63043 Phone: 314-872-6430 |
Beth Marilyn Glenn, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2458 Old Dorsett Rd Ste 110, Maryland Heights, MO 63043 Phone: 636-939-2550 |
Karen A Sepe, R.N., C.P.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11365 Dorsett Rd, Maryland Heights, MO 63043 Phone: 314-872-6430 Fax: 314-872-6500 |
Phylicia Little, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13655 Riverport Dr, Maryland Heights, MO 63043 Phone: 314-972-7000 |
Denise Jacqueline Wagster, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2070 Mckelvey Rd, Maryland Heights, MO 63043 Phone: 314-434-1900 Fax: 314-434-1902 |
Mr. Amadu Barrie, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 134 Midland Avenue, Maryland Heights, MO 63043 Phone: 314-583-0865 |
Matthew Hammer, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2022 Dorsett Vlg, Maryland Heights, MO 63043 Phone: 314-590-0520 |