| Montacer Belfancha, NP | |
|
100 Medical Plz, Lake St Louis, MO 63367-1366 | |
| (636) 584-4803 | |
| Not Available |
| Full Name | Montacer Belfancha |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Location | 100 Medical Plz, Lake St Louis, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639914609 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 2024030419 (Missouri) | Primary |
| 163WE0003X | Registered Nurse - Emergency | 2014004753 (Missouri) | Secondary |
| Entity Name | Missouri Baptist Hospital Of Sullivan |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295743169 PECOS PAC ID: 2668380148 Enrollment ID: O20060410000616 |
| Entity Name | Cep America Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619332046 PECOS PAC ID: 6608056171 Enrollment ID: O20150312000325 |
| Mailing Address | Practice Location Address |
|---|---|
| Montacer Belfancha, NP 100 Medical Plz, Lake St Louis, MO 63367-1366 Ph: (636) 584-4803 | Montacer Belfancha, NP 100 Medical Plz, Lake St Louis, MO 63367-1366 Ph: (636) 584-4803 |
Victoria Lynn Hines, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Medical Plz, Lake St Louis, MO 63367 Phone: 636-625-5200 Fax: 636-625-5314 | |
Akiko Okabe, AGACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Medical Plz, Lake St Louis, MO 63367 Phone: 314-317-0600 Fax: 314-317-0606 | |
Molly Lombardo, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 Medical Plz Ste 221, Lake St Louis, MO 63367 Phone: 636-625-6041 | |
Katie D Schmidt, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 Medical Plz Ste 150, Lake St Louis, MO 63367 Phone: 636-625-2662 | |
Yunhee Choi Cruse, CNP, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 Medical Plz, Lake St Louis, MO 63367 Phone: 636-625-5200 | |
Michelle Louise Wallweber, MSN, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 21 Meadows Circle Dr Ste 324, Lake St Louis, MO 63367 Phone: 636-389-2488 | |
Katherine Elizabeth Benenati, AGACNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 300 Medical Plz Ste 150, Lake St Louis, MO 63367 Phone: 636-625-2662 Fax: 636-625-1644 |