| Internal Medicine At Winghaven, Llc | |
|
5551 Winghaven Blvd Ste 290 O Fallon MO 63368-3629 | |
| (636) 695-2575 | |
| (314) 590-5938 |
| Full Name | Internal Medicine At Winghaven, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5551 Winghaven Blvd Ste 290, O Fallon, Missouri |
| Authorized Official Name and Position | James Snider (VP 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 |
|---|---|
| Internal Medicine At Winghaven, Llc 121 Saint Lukes Center Dr Ste 200 Chesterfield MO 63017-3518 Ph: (636) 685-7804 | Internal Medicine At Winghaven, Llc 5551 Winghaven Blvd Ste 290 O Fallon MO 63368-3629 Ph: (636) 695-2575 |
| NPI Number | 1487924288 |
|---|---|
| Provider Enumeration Date | 01/10/2012 |
| Last Update Date | 04/06/2021 |
| Medicare PECOS PAC ID | 6406018605 |
|---|---|
| Medicare Enrollment ID | O20120504000377 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487924288 | NPI | - | NPPES |
| 1487924288 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Gary D Gray |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497729826 PECOS PAC ID: 5294832390 Enrollment ID: I20070524000580 |
| Provider Name | Gina M Schnurbusch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861928244 PECOS PAC ID: 7315215902 Enrollment ID: I20170623000361 |
Kevin L. Threlkeld, M.d., Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 204 N Main St, O Fallon, MO 63366 Phone: 636-240-3420 | |
Internal Medicine At Winghaven Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5551 Winghaven Blvd Ste 290, O Fallon, MO 63368 Phone: 636-695-2575 Fax: 314-590-5938 | |
O'fallon Pain Relief Associates Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2682 Babble Creek Ln, O Fallon, MO 63368 Phone: 636-978-3000 Fax: 636-978-1821 | |
Surgical Clinic Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 Church St, O Fallon, MO 63366 Phone: 636-240-1100 Fax: 636-240-1104 | |
Chiro Co Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2917 Highway K Ste F, O Fallon, MO 63368 Phone: 314-239-2427 | |
Frontier Integrated Health Center Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 199 Frontier Park Dr, O Fallon, MO 63366 Phone: 636-379-5934 Fax: 636-410-3323 | |
Progress West Healthcare Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Two Progress Point Parkway, O Fallon, MO 63368 Phone: 314-996-3628 Fax: 314-996-3610 |