| Mercy Clinic East Communities | |
|
15945 Clayton Rd Ste 310 Ballwin MO 63011-2493 | |
| (636) 893-1356 | |
| (636) 893-1358 |
| Full Name | Mercy Clinic East Communities |
|---|---|
| Speciality | Internal Medicine |
| Location | 15945 Clayton Rd Ste 310, Ballwin, Missouri |
| Authorized Official Name and Position | Kerry Dunger (EXECUTIVE DIRECTOR - FINANCE) |
| Authorized Official Contact | 3143643707 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mercy Clinic East Communities 15945 Clayton Rd Ste 310 Ballwin MO 63011-2493 Ph: (636) 893-1356 | Mercy Clinic East Communities 15945 Clayton Rd Ste 310 Ballwin MO 63011-2493 Ph: (636) 893-1356 |
| NPI Number | 1700370061 |
|---|---|
| Provider Enumeration Date | 06/20/2018 |
| Last Update Date | 04/28/2025 |
| Medicare PECOS PAC ID | 7214827922 |
|---|---|
| Medicare Enrollment ID | O20190301001605 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700370061 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
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