| Drs. Mera, Boesch & Kumar, Llc | |
|
222 S Woods Mill Rd Ste 630n Chesterfield MO 63017-3645 | |
| (636) 685-7727 | |
| (314) 590-5919 |
| Full Name | Drs. Mera, Boesch & Kumar, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 222 S Woods Mill Rd Ste 630n, Chesterfield, 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 |
|---|---|
| Drs. Mera, Boesch & Kumar, Llc 232 S Woods Mill Rd Chesterfield MO 63017-3417 Ph: (636) 685-7804 | Drs. Mera, Boesch & Kumar, Llc 222 S Woods Mill Rd Ste 630n Chesterfield MO 63017-3645 Ph: (636) 685-7727 |
| NPI Number | 1659415008 |
|---|---|
| Provider Enumeration Date | 02/19/2007 |
| Last Update Date | 04/26/2021 |
| Medicare PECOS PAC ID | 9032142534 |
|---|---|
| Medicare Enrollment ID | O20050915000169 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659415008 | NPI | - | NPPES |
| DD6753 | Other | MO | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Shanthi Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497710651 PECOS PAC ID: 6608809108 Enrollment ID: I20050915000208 |
| Provider Name | Jeffrey Boesch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972566024 PECOS PAC ID: 3870526379 Enrollment ID: I20050915000215 |
| Provider Name | Byron D Baptist |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518253699 PECOS PAC ID: 2365660511 Enrollment ID: I20140829000424 |
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