| Lss Palliative Care | |
|
1150 Hanley Industrial Ct Saint Louis MO 63144-1910 | |
| (314) 968-9313 | |
| Not Available |
| Full Name | Lss Palliative Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 1150 Hanley Industrial Ct, Saint Louis, Missouri |
| Authorized Official Name and Position | Chadwick Sneed (CFO) |
| Authorized Official Contact | 3144462405 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lss Palliative Care 1150 Hanley Industrial Ct Saint Louis MO 63144-1910 Ph: (314) 968-9313 | Lss Palliative Care 1150 Hanley Industrial Ct Saint Louis MO 63144-1910 Ph: (314) 968-9313 |
| NPI Number | 1528763885 |
|---|---|
| Provider Enumeration Date | 04/04/2023 |
| Last Update Date | 09/20/2023 |
| Certification Date | 09/20/2023 |
| Medicare PECOS PAC ID | 3577530203 |
|---|---|
| Medicare Enrollment ID | O20230424000692 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528763885 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
| Provider Name | Ehab Kaiser |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205804796 PECOS PAC ID: 6002863354 Enrollment ID: I20050407001105 |
| Provider Name | Karen R Schroeder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205200656 PECOS PAC ID: 3072814250 Enrollment ID: I20151211001222 |
| Provider Name | Patricia H Huebner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821597840 PECOS PAC ID: 5799046322 Enrollment ID: I20180222002635 |
| Provider Name | Katie Ledbetter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306358288 PECOS PAC ID: 8921434846 Enrollment ID: I20200212000832 |
| Provider Name | Dawn Rae Nelms |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1669357166 PECOS PAC ID: 8325517279 Enrollment ID: I20260520001433 |
| Provider Name | Jacob S Risk |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1396935128 PECOS PAC ID: 1951493154 Enrollment ID: I20260520001715 |
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