| Mr Blessing Kudakwashe Tupiri, PA | |
|
12266 De Paul Dr Ste 205, Bridgeton, MO 63044-2514 | |
| (314) 647-8269 | |
| Not Available |
| Full Name | Mr Blessing Kudakwashe Tupiri |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 7 Years |
| Location | 12266 De Paul Dr Ste 205, Bridgeton, 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 |
|---|---|---|---|
| 1013548767 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 2020004136 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saint Francis Medical Center | Peoria, IL | Hospital |
| Osf Saint Clare Medical Center | Princeton, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Osf Multi-specialty Group | 3678889789 | 2123 |
| Entity Name | OSF Multi-specialty Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Blessing Kudakwashe Tupiri, PA Po Box 955534, Saint Louis, MO 63195-2551 Ph: Not Available | Mr Blessing Kudakwashe Tupiri, PA 12266 De Paul Dr Ste 205, Bridgeton, MO 63044-2514 Ph: (314) 647-8269 |
Laura Ann Fischer, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12349 Depaul Drive, Suite 100, Bridgeton, MO 63044 Phone: 314-291-7900 |
Spencer Blondeaux, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12409 Saint Charles Rock Rd, Bridgeton, MO 63044 Phone: 636-429-0999 |
Daniel Zackary Souvannarath, Physician Assistant Medicare: Medicare Enrolled Practice Location: 12266 De Paul Dr Ste 310, Bridgeton, MO 63044 Phone: 314-209-5171 |
Heather Ann Schmitz, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12266 De Paul Dr Ste 205, Bridgeton, MO 63044 Phone: 314-218-2300 |
Caroline Rose Hoffman, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12255 Depaul Drive, Suite 420, Bridgeton, MO 63044 Phone: 314-298-3893 Fax: 314-851-4408 |
Mrs. Amber Renee Johnson, PAC MMS Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 12255 De Paul Dr, Suite 460, Bridgeton, MO 63044 Phone: 314-770-1844 Fax: 314-770-1843 |
Andrew J Wahle, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12303 Depaul Dr, Depaul Health Center, Bridgeton, MO 63044 Phone: 314-344-6000 Fax: 630-734-1560 |