| Midwest Health Professionals Pc | |
|
8793 Watson Rd Saint Louis MO 63119-5111 | |
| (314) 968-0700 | |
| (314) 961-0909 |
| Full Name | Midwest Health Professionals Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 8793 Watson Rd, Saint Louis, Missouri |
| Authorized Official Name and Position | Tshiswaka Kayembe (OWNER) |
| Authorized Official Contact | 3149680700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Midwest Health Professionals Pc 8793 Watson Rd Saint Louis MO 63119-5111 Ph: (314) 968-0700 | Midwest Health Professionals Pc 8793 Watson Rd Saint Louis MO 63119-5111 Ph: (314) 968-0700 |
| NPI Number | 1487709812 |
|---|---|
| Provider Enumeration Date | 01/24/2007 |
| Last Update Date | 12/31/2023 |
| Medicare PECOS PAC ID | 5597664284 |
|---|---|
| Medicare Enrollment ID | O20031231000627 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487709812 | NPI | - | NPPES |
| 500166202 | Medicaid | MO | |
| CI4700 | Other | MO | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 108334 (Missouri) | Primary |
| Provider Name | Tshiswaka B Kayembe |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164477766 PECOS PAC ID: 2466351168 Enrollment ID: I20041204000044 |
| Provider Name | Denise L Buck |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083760599 PECOS PAC ID: 2365610425 Enrollment ID: I20110718000269 |
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