| Clear Practice Pllc | |
|
7777 Bonhomme Ave Ste 1800 Clayton MO 63105-1931 | |
| (855) 229-2177 | |
| (314) 464-0759 |
| Full Name | Clear Practice Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 7777 Bonhomme Ave Ste 1800, Clayton, Missouri |
| Authorized Official Name and Position | Saria Saccocio (OWNER) |
| Authorized Official Contact | 3142092800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clear Practice Pllc 13900 Riverport Dr Maryland Heights MO 63043-4804 Ph: (855) 229-2177 | Clear Practice Pllc 7777 Bonhomme Ave Ste 1800 Clayton MO 63105-1931 Ph: (855) 229-2177 |
| NPI Number | 1386498319 |
|---|---|
| Provider Enumeration Date | 04/16/2024 |
| Last Update Date | 10/15/2025 |
| Medicare PECOS PAC ID | 4880137850 |
|---|---|
| Medicare Enrollment ID | O20240618003435 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386498319 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Jessica H Diekhoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164662276 PECOS PAC ID: 0244387108 Enrollment ID: I20090409000513 |
| Provider Name | Robert Howard Tversky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386722841 PECOS PAC ID: 7012096027 Enrollment ID: I20110418000138 |
| Provider Name | Lauren E Deichmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629366695 PECOS PAC ID: 5294983185 Enrollment ID: I20120918000946 |
| Provider Name | Brittany Venable |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376913210 PECOS PAC ID: 7113236449 Enrollment ID: I20151027001987 |
| Provider Name | Benjamin Harris |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093125080 PECOS PAC ID: 7315249737 Enrollment ID: I20170621001228 |
| Provider Name | Joel Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194783472 PECOS PAC ID: 7517943327 Enrollment ID: I20200428000101 |
| Provider Name | Christina Michelle Engert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861142473 PECOS PAC ID: 8022497288 Enrollment ID: I20220617000641 |
| Provider Name | Tawniece Curry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194573824 PECOS PAC ID: 5193268332 Enrollment ID: I20240617002204 |
| Provider Name | Taylor Well |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528700325 PECOS PAC ID: 6608254867 Enrollment ID: I20240618003780 |
| Provider Name | Alexandra Gain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497474951 PECOS PAC ID: 6709329634 Enrollment ID: I20240620002087 |
| Provider Name | Tory Andrews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619531340 PECOS PAC ID: 1254665946 Enrollment ID: I20241007000657 |
| Provider Name | Dominic Leung |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144230335 PECOS PAC ID: 8820287097 Enrollment ID: I20241118001452 |
| Provider Name | Katie Dcruz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124412168 PECOS PAC ID: 0941513642 Enrollment ID: I20241211004332 |
| Provider Name | Vincent Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235770942 PECOS PAC ID: 1658786751 Enrollment ID: I20250130001406 |
| Provider Name | Junine Degraf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609943661 PECOS PAC ID: 6709820913 Enrollment ID: I20250222000147 |
| Provider Name | Rebecca Alexander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962037051 PECOS PAC ID: 6305255597 Enrollment ID: I20250222000245 |
| Provider Name | Daniel Glon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942602461 PECOS PAC ID: 7618198136 Enrollment ID: I20250227003006 |
| Provider Name | Traci Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336322007 PECOS PAC ID: 9032293501 Enrollment ID: I20250318001387 |
| Provider Name | Basirat Sulaiman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447851472 PECOS PAC ID: 5193133585 Enrollment ID: I20250318002235 |
| Provider Name | Melissa Theodore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912294083 PECOS PAC ID: 8729257126 Enrollment ID: I20250509003123 |
| Provider Name | Crystal Strauss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629360854 PECOS PAC ID: 5193264455 Enrollment ID: I20250512002221 |
| Provider Name | Samantha Varner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770208647 PECOS PAC ID: 6800328543 Enrollment ID: I20250512002957 |
| Provider Name | Sarah Lazarski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699142711 PECOS PAC ID: 4981911393 Enrollment ID: I20250514001605 |
| Provider Name | Alice Greene |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710903638 PECOS PAC ID: 9739218140 Enrollment ID: I20250514001919 |
| Provider Name | Diana Vizcayno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588193700 PECOS PAC ID: 9739444043 Enrollment ID: I20250514003572 |
| Provider Name | Amber Garretson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457812752 PECOS PAC ID: 8022447283 Enrollment ID: I20250516002478 |
| Provider Name | Joanne Kirby |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629061114 PECOS PAC ID: 0749216166 Enrollment ID: I20250528003682 |
| Provider Name | Amanda Schwartz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437794765 PECOS PAC ID: 8729413737 Enrollment ID: I20250530002247 |
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