| Ms Geraldine Prophete, PA | |
|
11445 Olive Blvd, Creve Coeur, MO 63141-7108 | |
| (314) 428-9543 | |
| (314) 428-9542 |
| Full Name | Ms Geraldine Prophete |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 4 Years |
| Location | 11445 Olive Blvd, Creve Coeur, Missouri |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447960638 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 2023008006 (Missouri) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Aco Clinical Services Inc | 6901188572 | 159 |
| Mercy East Ambulatory Services Llc | 2365739240 | 102 |
| Entity Name | The Curators of the University of Missouri |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235126921 PECOS PAC ID: 4486759560 Enrollment ID: O20070418000290 |
| Entity Name | Mercy East Ambulatory Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134673148 PECOS PAC ID: 2365739240 Enrollment ID: O20160920002054 |
| Entity Name | Mercy Aco Clinical Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063965093 PECOS PAC ID: 6901188572 Enrollment ID: O20170117001888 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Geraldine Prophete, PA Po Box 843966, Kansas City, MO 64184-3966 Ph: (573) 884-3300 | Ms Geraldine Prophete, PA 11445 Olive Blvd, Creve Coeur, MO 63141-7108 Ph: (314) 428-9543 |
Corey Martin, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 11330 Olive Blvd Ste 150, Creve Coeur, MO 63141 Phone: 314-336-2566 |
Sarah E Reifsteck, PA-C, ATC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 633 Emerson Rd Ste 100, Creve Coeur, MO 63141 Phone: 314-991-4368 Fax: 314-991-4369 |
Mercedes Vomund, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 633 Emerson Rd Ste 20, Creve Coeur, MO 63141 Phone: 314-991-2013 Fax: 314-991-2006 |
Mrs. Samantha Yates Nuckols, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 11445 Olive Blvd, Creve Coeur, MO 63141 Phone: 314-428-9543 Fax: 314-428-9542 |
Kemin Chen, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 11445 Olive Blvd, Creve Coeur, MO 63141 Phone: 314-428-9543 Fax: 314-428-9542 |
Ms. Amie C Chang, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 11525 Olde Cabin Rd, Creve Coeur, MO 63141 Phone: 314-997-0554 Fax: 314-997-5086 |
Robert Francis Kelly, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 633 Emerson Rd Ste 20, Creve Coeur, MO 63141 Phone: 314-325-3068 |