| Home Drs Medical Group | |
|
7171 Delmar Blvd University City MO 63130-4341 | |
| (314) 361-7764 | |
| (314) 361-7776 |
| Full Name | Home Drs Medical Group |
|---|---|
| Speciality | General Practice |
| Location | 7171 Delmar Blvd, University City, Missouri |
| Authorized Official Name and Position | Janette Hamilton (CEO) |
| Authorized Official Contact | 3143617764 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Home Drs Medical Group 7171 Delmar Blvd University City MO 63130-4341 Ph: (314) 361-7764 | Home Drs Medical Group 7171 Delmar Blvd University City MO 63130-4341 Ph: (314) 361-7764 |
| NPI Number | 1518570696 |
|---|---|
| Provider Enumeration Date | 08/28/2020 |
| Last Update Date | 08/28/2020 |
| Medicare PECOS PAC ID | 0143631432 |
|---|---|
| Medicare Enrollment ID | O20201117001706 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518570696 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| 251E00000X | Home Health | (* (Not Available)) | Secondary |
| Provider Name | Valerie O Walker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083784375 PECOS PAC ID: 3274524624 Enrollment ID: I20040524000408 |
| Provider Name | Binwant K Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508932195 PECOS PAC ID: 5597781021 Enrollment ID: I20051025000090 |
| Provider Name | Carmel R Boykin-wright |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487724381 PECOS PAC ID: 8820124142 Enrollment ID: I20100325000886 |
| Provider Name | Eboni C January |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851602593 PECOS PAC ID: 8426273434 Enrollment ID: I20140708001149 |
| Provider Name | Tyree E Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720297989 PECOS PAC ID: 6305062209 Enrollment ID: I20140730001062 |
| Provider Name | Charles C Bradford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194281584 PECOS PAC ID: 2668805235 Enrollment ID: I20191212001380 |
| Provider Name | Derek Braddix |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588110480 PECOS PAC ID: 8729360755 Enrollment ID: I20200804000787 |
| Provider Name | Van B Ho |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144844309 PECOS PAC ID: 5597176883 Enrollment ID: I20201117001794 |
| Provider Name | Kathryn Rudy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124601463 PECOS PAC ID: 3072914050 Enrollment ID: I20210628003400 |
| Provider Name | Angela M Bryant |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942504105 PECOS PAC ID: 1951702968 Enrollment ID: I20210629000561 |
| Provider Name | Christina R Roybal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548939192 PECOS PAC ID: 1052702339 Enrollment ID: I20211221000792 |
| Provider Name | Lonnikah K Holmes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003487505 PECOS PAC ID: 9931539160 Enrollment ID: I20220411002506 |
Family Care Health Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7401 Balson Ave, University City, MO 63130 Phone: 314-353-5190 Fax: 314-353-7631 | |
Home Docs Medical Associates, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7584 Olive Blvd Ste 204, University City, MO 63130 Phone: 314-376-4045 Fax: 314-376-4046 |