| Blue Hair Health Care | |
|
120 S Central Ave Clayton MO 63105-1705 | |
| (913) 579-5695 | |
| Not Available |
| Full Name | Blue Hair Health Care |
|---|---|
| Speciality | Family Medicine |
| Location | 120 S Central Ave, Clayton, Missouri |
| Authorized Official Name and Position | Scott Franklin Avery (OWNER) |
| Authorized Official Contact | 9135795695 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Hair Health Care 20006 W 89th St Lenexa KS 66220-8240 Ph: (913) 579-5695 | Blue Hair Health Care 120 S Central Ave Clayton MO 63105-1705 Ph: (913) 579-5695 |
| NPI Number | 1235709015 |
|---|---|
| Provider Enumeration Date | 06/25/2021 |
| Last Update Date | 10/07/2021 |
| Medicare PECOS PAC ID | 9032517784 |
|---|---|
| Medicare Enrollment ID | O20211011000262 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235709015 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Scott F Avery |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427230069 PECOS PAC ID: 5597913954 Enrollment ID: I20120911000079 |
| Provider Name | Megan K Augustine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558737874 PECOS PAC ID: 4385951383 Enrollment ID: I20150923000552 |
| Provider Name | Katie Schweder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023789765 PECOS PAC ID: 0143613778 Enrollment ID: I20220203001231 |
| Provider Name | Rachel M Harlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194476309 PECOS PAC ID: 6406241405 Enrollment ID: I20220415000337 |
| Provider Name | Morgan Nicole Keller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912608118 PECOS PAC ID: 0840648119 Enrollment ID: I20231127002729 |
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