| Lake Girl, Inc | |
|
4581 Gravois Rd House Springs MO 63051-1374 | |
| (636) 671-9980 | |
| (636) 671-9981 |
| Full Name | Lake Girl, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4581 Gravois Rd, House Springs, Missouri |
| Authorized Official Name and Position | Renee L Willer (OWNER) |
| Authorized Official Contact | 3143227017 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Girl, Inc 4581 Gravois Rd House Springs MO 63051-1374 Ph: (636) 671-9980 | Lake Girl, Inc 4581 Gravois Rd House Springs MO 63051-1374 Ph: (636) 671-9980 |
| NPI Number | 1255730446 |
|---|---|
| Provider Enumeration Date | 08/14/2014 |
| Last Update Date | 12/21/2023 |
| Medicare PECOS PAC ID | 6204057334 |
|---|---|
| Medicare Enrollment ID | O20141014002343 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255730446 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 138512 (Missouri) | Primary |
| Provider Name | Linda R Winterberger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295706513 PECOS PAC ID: 0840256483 Enrollment ID: I20041206000994 |
| Provider Name | Renee L Willer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477530814 PECOS PAC ID: 0345264925 Enrollment ID: I20060123000340 |
Jesse D Helton Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Osage Executive Cir, House Springs, MO 63051 Phone: 636-677-9977 Fax: 636-677-9179 | |
Kenneth Ross Do Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4 Ponder Executive Plz, House Springs, MO 63051 Phone: 636-671-1563 Fax: 636-671-3364 | |
Almiron Clinic, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4581 Gravois Rd, House Springs, MO 63051 Phone: 636-671-3462 Fax: 636-671-1099 | |
Compass Health, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4300 Gravois Rd, House Springs, MO 63051 Phone: 636-321-0150 Fax: 636-375-5157 |