| Kpw Health Llc | |
|
603 7th St S Ste 540 St Petersburg FL 33701-4734 | |
| (727) 230-3423 | |
| (217) 636-3056 |
| Full Name | Kpw Health Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 603 7th St S Ste 540, St Petersburg, Florida |
| Authorized Official Name and Position | Khalilah Weston (OWNER) |
| Authorized Official Contact | 7346575407 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kpw Health Llc 603 7th St S Ste 540 St Petersburg FL 33701-4734 Ph: (727) 230-3423 | Kpw Health Llc 603 7th St S Ste 540 St Petersburg FL 33701-4734 Ph: (727) 230-3423 |
| NPI Number | 1427559020 |
|---|---|
| Provider Enumeration Date | 02/28/2018 |
| Last Update Date | 03/07/2022 |
| Medicare PECOS PAC ID | 3971858671 |
|---|---|
| Medicare Enrollment ID | O20180621000605 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427559020 | NPI | - | NPPES |
| 06111 | Other | OXFORD HEALTH PLAN | |
| 14163 | Other | WELLCARE FLORIDA | |
| 62308 | Other | CIGNA | |
| 80214 | Other | CHAMPVA | |
| MC010 | Medicaid | FL | |
| WELLM2 | Other | WELLMED/UNITED HEALTH CARE | |
| 13551 | Other | GHI/EMBLEM HEALTH PLAN | |
| 20133 | Other | OPTIMUM INSURANCE PLAN | |
| 61101 | Other | HUMANA, INC | |
| 64157 | Other | MERITAIN HEALTH | |
| 36273 | Other | AARP- UHC OVATIONS INSURANCE SOLUTIONS | |
| 60054 | Other | AETNA MEDICARE | |
| 14163 | Other | STAYWELL HEALTH PLAN | |
| 28804 | Other | AMERIGROUP | |
| 60054 | Other | AETNA | |
| 62308 | Other | GREAT WEST PPO | |
| 68069 | Other | SUNSHINE MEDICAID | |
| 77003 | Other | PRESTIGE | |
| BS022 | Other | BLUE SHIELD FLORIDA | |
| 44054 | Other | GEHA | |
| 95019 | Other | HEALTH FIRST HEALTH PLANS | |
| 39026 | Other | UMR | |
| 75261 | Other | TPA | |
| 25133 | Other | COVENTRY HEALTH CARE | |
| 27094 | Other | SIMPLY HEALTH CARE/ CLEAR HEALTH ALLIANCE | |
| 37602 | Other | GOLDEN RULE INSURANCE PLAN | |
| 41212 | Other | FREEDOM HEALTH INSURANCE PLAN | |
| 59274 | Other | AVEMED HEALTH PLAN | |
| 87726 | Other | UNITED HEALTH CARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Patrick S Weston |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1306813423 PECOS PAC ID: 5991807661 Enrollment ID: I20140114000570 |
| Provider Name | Khalilah Weston |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1427372721 PECOS PAC ID: 2466622709 Enrollment ID: I20150126001941 |
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