| Mary Deane Kitchura, PA | |
|
15945 Clayton Rd Ste 120a, Ballwin, MO 63011-2490 | |
| (636) 256-5000 | |
| (636) 256-5100 |
| Full Name | Mary Deane Kitchura |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 1 Years |
| Location | 15945 Clayton Rd Ste 120a, Ballwin, Missouri |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538056148 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 2025040004 (Missouri) | Primary |
| Entity Name | Mercy Clinic St Louis Cancer and Breast Institute LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891946349 PECOS PAC ID: 9739240037 Enrollment ID: O20081204000867 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Deane Kitchura, PA Po Box 776084, Chicago, IL 60677-6084 Ph: (573) 237-6100 | Mary Deane Kitchura, PA 15945 Clayton Rd Ste 120a, Ballwin, MO 63011-2490 Ph: (636) 256-5000 |
Daniel Charles Mulawa, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 15945 Clayton Rd Ste 330, Ballwin, MO 63011 Phone: 636-256-5380 Fax: 636-256-5396 |
Margaret M Connelly, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 13861 Manchester Rd, Ballwin, MO 63011 Phone: 636-932-8029 |
Amber Alicia Bertoglio, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 13861 Manchester Rd, Ballwin, MO 63011 Phone: 618-615-1193 |
Kelby Lynn Withrow, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 13861 Manchester Rd, Ballwin, MO 63011 Phone: 636-556-0114 |
Cynthia R. Krinochkin, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12 Hutchinson Rd, Ballwin, MO 63011 Phone: 636-591-1086 |
Sarah Peter, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 13861 Manchester Rd, Ballwin, MO 63011 Phone: 314-422-5568 |
Ashleigh Ann Glass, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 13861 Manchester Rd, Ballwin, MO 63011 Phone: 417-766-8246 |