| Archwell Health Professional Services Of Kansas, P.a. | |
| 
					199 N Florissant Rd Ferguson MO 63135-1976  | |
| (888) 987-1151 | |
| Not Available | 
| Full Name | Archwell Health Professional Services Of Kansas, P.a. | 
|---|---|
| Speciality | Internal Medicine | 
| Location | 199 N Florissant Rd, Ferguson, Missouri | 
| Authorized Official Name and Position | Lisa Lucas (CHIEF ADMINISTRATIVE OFFICER) | 
| Authorized Official Contact | 6154190947 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Archwell Health Professional Services Of Kansas, P.a. 102 Woodmont Blvd Ste 600 Nashville TN 37205-5250 Ph: () -  | Archwell Health Professional Services Of Kansas, P.a. 199 N Florissant Rd Ferguson MO 63135-1976 Ph: (888) 987-1151  | 
| NPI Number | 1083289086 | 
|---|---|
| Provider Enumeration Date | 05/21/2021 | 
| Last Update Date | 04/05/2023 | 
| Medicare PECOS PAC ID | 4688072358 | 
|---|---|
| Medicare Enrollment ID | O20211011001089 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1083289086 | NPI | - | NPPES | 
| Provider Name | Lezlee A Price | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1225110091 PECOS PAC ID: 2466404157 Enrollment ID: I20050210000485  | 
| Provider Name | Stephanie Marie Revels | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1043267404 PECOS PAC ID: 4385732668 Enrollment ID: I20071120000504  | 
| Provider Name | Brooke Ottesen | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1063762946 PECOS PAC ID: 5092966473 Enrollment ID: I20121112000483  | 
| Provider Name | Erin Ragner | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1699223784 PECOS PAC ID: 0941580229 Enrollment ID: I20170210001087  | 
| Provider Name | Michele Davis | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1184262941 PECOS PAC ID: 1456771146 Enrollment ID: I20201019002233  | 
| Provider Name | Heather L Savedra | 
|---|---|
| Provider Type | Practitioner - Internal Medicine | 
| Provider Identifiers | NPI Number: 1861694705 PECOS PAC ID: 7012086655 Enrollment ID: I20211011001320  | 
| Provider Name | Andrew William Dewitt | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1811521487 PECOS PAC ID: 0244620631 Enrollment ID: I20211129000416  | 
| Provider Name | Michael Jordan Lipp | 
|---|---|
| Provider Type | Practitioner - Internal Medicine | 
| Provider Identifiers | NPI Number: 1427016021 PECOS PAC ID: 3173678323 Enrollment ID: I20211214002356  | 
| Provider Name | Donald Joseph Goddard | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1134229412 PECOS PAC ID: 4486648664 Enrollment ID: I20220215000591  | 
| Provider Name | Naga Pannala | 
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) | 
| Provider Identifiers | NPI Number: 1366673352 PECOS PAC ID: 2365743556 Enrollment ID: I20220217002597  | 
| Provider Name | Palak J Shah | 
|---|---|
| Provider Type | Practitioner - Internal Medicine | 
| Provider Identifiers | NPI Number: 1043823628 PECOS PAC ID: 6901250851 Enrollment ID: I20230926002030  | 
| Provider Name | Shandra Miller | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1306444963 PECOS PAC ID: 8224404892 Enrollment ID: I20240306002577  | 
| Provider Name | Jason Christenson | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1023366754 PECOS PAC ID: 1850793506 Enrollment ID: I20240930000160  | 
The Dr Roy Johnson Medical Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 40 N Florissant Rd, Ferguson, MO 63135 Phone: 314-521-1302 Fax: 314-521-5120  | |
Let's Talk Teen Clinic Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 119 Church Street, Suite 131, Ferguson, MO 63135 Phone: 314-494-2584  | |
Midwest Physicians Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 119 Church St Ste 135, Ferguson, MO 63135 Phone: 314-246-1690 Fax: 800-331-9716  | |
Betty Jean Kerr Peoples Health Centers Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 49 N Florissant Rd Ste 101, Ferguson, MO 63135 Phone: 314-633-8921 Fax: 314-524-9227  |