| Medwin Primary Care L.l.c. | |
|
3619 Richardson Square Dr Arnold MO 63010-6022 | |
| (636) 461-1414 | |
| Not Available |
| Full Name | Medwin Primary Care L.l.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 3619 Richardson Square Dr, Arnold, Missouri |
| Authorized Official Name and Position | Kurmanadha Green (BILLING MANAGER) |
| Authorized Official Contact | 3148780163 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medwin Primary Care L.l.c. Po Box 797052 Saint Louis MO 63179-7000 Ph: (636) 461-1414 | Medwin Primary Care L.l.c. 3619 Richardson Square Dr Arnold MO 63010-6022 Ph: (636) 461-1414 |
| NPI Number | 1376552067 |
|---|---|
| Provider Enumeration Date | 08/05/2006 |
| Last Update Date | 09/26/2012 |
| Medicare PECOS PAC ID | 0446203236 |
|---|---|
| Medicare Enrollment ID | O20050221000570 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376552067 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 105197 (Missouri) | Primary |
| Provider Name | Kurmanadha Chadalawada |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396771606 PECOS PAC ID: 9032014972 Enrollment ID: I20031203000679 |
| Provider Name | Jesse D Helton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720058381 PECOS PAC ID: 8729997507 Enrollment ID: I20040507000223 |
| Provider Name | Kristina A Potts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356747513 PECOS PAC ID: 2961710363 Enrollment ID: I20151005002442 |
| Provider Name | Jessica Nicole Hoffmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346600970 PECOS PAC ID: 9032415815 Enrollment ID: I20160303001364 |
| Provider Name | Kris Sutton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689035784 PECOS PAC ID: 2163712241 Enrollment ID: I20160601002059 |
| Provider Name | Jillian Ethridge-brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093252777 PECOS PAC ID: 8022392349 Enrollment ID: I20170306002547 |
| Provider Name | Prajakta Mungikar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790109247 PECOS PAC ID: 6608135280 Enrollment ID: I20180108001004 |
| Provider Name | Jeanine Michelle Weinkauf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235624479 PECOS PAC ID: 2668724857 Enrollment ID: I20181017000676 |
| Provider Name | Daniella Ellis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528149531 PECOS PAC ID: 3577663012 Enrollment ID: I20210720003189 |
| Provider Name | Wyatt Hayden Danner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457987166 PECOS PAC ID: 5597178004 Enrollment ID: I20240222003315 |
Arnold Family Medicine Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8 Arnold Mall, Arnold, MO 63010 Phone: 636-296-7510 Fax: 636-296-4041 | |
Compass Health, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 148 Richardson Xing, Arnold, MO 63010 Phone: 844-853-8937 | |
Missouri Spine Associates, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1765 Jeffco Blvd, Arnold, MO 63010 Phone: 636-333-3700 Fax: 636-333-3701 | |
Compass Health, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1845 Jeffco Blvd, Arnold, MO 63010 Phone: 844-853-8937 | |
Compass Health, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 849 Jeffco Blvd, Arnold, MO 63010 Phone: 636-287-0440 Fax: 636-333-1827 | |
St. Anthony's Physician Organization Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3619 Richardson Square Dr, Ste 170, Arnold, MO 63010 Phone: 636-717-6776 Fax: 636-464-5870 |