| Mr Enos Kenneth Moss Jr, RN, MSN, ANP-BC | |
|
2025 S Brentwood Blvd Ste 209, Brentwood, MO 63144-1851 | |
| (636) 949-5760 | |
| (866) 440-9231 |
| Full Name | Mr Enos Kenneth Moss Jr |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 14 Years |
| Location | 2025 S Brentwood Blvd Ste 209, Brentwood, 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 |
|---|---|---|---|
| 1548527997 | NPI | - | NPPES |
| 1548527997 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 2012011952 (Missouri) | Primary |
| 363LA2200X | Nurse Practitioner - Adult Health | 2012011952 (Missouri) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St. Charles Psychiatric Associates, Inc. | 0648431312 | 8 |
| Entity Name | St. Charles Psychiatric Associates, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164631495 PECOS PAC ID: 0648431312 Enrollment ID: O20120406000043 |
| Entity Name | Psychological & Behavioral Consultants LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811915713 PECOS PAC ID: 0446243760 Enrollment ID: O20181204002777 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Enos Kenneth Moss Jr, RN, MSN, ANP-BC 4801 Weldon Spring Pkwy # 300, Weldon Spring, MO 63304-9101 Ph: (636) 949-5760 | Mr Enos Kenneth Moss Jr, RN, MSN, ANP-BC 2025 S Brentwood Blvd Ste 209, Brentwood, MO 63144-1851 Ph: (636) 949-5760 |
Cora Ann Snyders, RN FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8820 Manchester Rd, Brentwood, MO 63144 Phone: 314-963-8100 |
Dr. Diana Elizabeth Marshall, WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2810 Lawndell Dr, Brentwood, MO 63144 Phone: 314-363-7977 |
Karen Schroeder, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1150 Hanley Industrial Ct, Brentwood, MO 63144 Phone: 314-446-2539 |
Megan Lehr, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2401 S Brentwood Blvd, Brentwood, MO 63144 Phone: 866-825-3227 |
Zhanna Ostrovskiy Goldkamp, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2401 S Brentwood Blvd, Brentwood, MO 63144 Phone: 844-776-7200 |
Ms. Holly Beth King, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2025 S Brentwood Blvd Ste 209, Brentwood, MO 63144 Phone: 636-949-5760 Fax: 866-440-9231 |
Kristine L Freschi, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2401 S Brentwood Blvd, Brentwood, MO 63144 Phone: 866-825-3227 Fax: 484-351-3800 |