| Creve Coeur Family Medicine, Llc | |
|
11550 Olive Blvd Ste 120 Creve Coeur MO 63141-7111 | |
| (314) 523-2590 | |
| (314) 590-5943 |
| Full Name | Creve Coeur Family Medicine, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 11550 Olive Blvd Ste 120, Creve Coeur, Missouri |
| Authorized Official Name and Position | James Snider (V.P. PHYSICIAN NETWORK) |
| Authorized Official Contact | 6366857804 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Creve Coeur Family Medicine, Llc 121 Saint Lukes Center Dr Chesterfield MO 63017-3518 Ph: (636) 685-7804 | Creve Coeur Family Medicine, Llc 11550 Olive Blvd Ste 120 Creve Coeur MO 63141-7111 Ph: (314) 523-2590 |
| NPI Number | 1801146766 |
|---|---|
| Provider Enumeration Date | 09/18/2012 |
| Last Update Date | 04/26/2021 |
| Medicare PECOS PAC ID | 7315183597 |
|---|---|
| Medicare Enrollment ID | O20130412000266 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801146766 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Allison Flammang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154760163 PECOS PAC ID: 9830498666 Enrollment ID: I20160617000462 |
| Provider Name | Lindsey R Duncan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821481474 PECOS PAC ID: 8729363015 Enrollment ID: I20170329001332 |
| Provider Name | Chantal G Berez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982049623 PECOS PAC ID: 0749550440 Enrollment ID: I20170727002225 |
| Provider Name | Delene P Musielak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033348057 PECOS PAC ID: 9133367816 Enrollment ID: I20190514000986 |
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