| Midwest Medical Practitioners Llc | |
|
1153 E Gannon Dr Festus MO 63028-2611 | |
| (636) 282-0380 | |
| (877) 592-0806 |
| Full Name | Midwest Medical Practitioners Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1153 E Gannon Dr, Festus, Missouri |
| Authorized Official Name and Position | Danish Jabbar (PHYSICIAN/OWNER) |
| Authorized Official Contact | 6362820380 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Midwest Medical Practitioners Llc 1153 E Gannon Dr Festus MO 63028-2611 Ph: (636) 282-0380 | Midwest Medical Practitioners Llc 1153 E Gannon Dr Festus MO 63028-2611 Ph: (636) 282-0380 |
| NPI Number | 1255709143 |
|---|---|
| Provider Enumeration Date | 09/09/2015 |
| Last Update Date | 05/24/2021 |
| Medicare PECOS PAC ID | 8729398425 |
|---|---|
| Medicare Enrollment ID | O20151110000108 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255709143 | NPI | - | NPPES |
| 2009017188 | Other | MO | LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 2009017188 (Missouri) | Primary |
| Provider Name | Danish A Jabbar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114183019 PECOS PAC ID: 8426194176 Enrollment ID: I20091009000233 |
| Provider Name | Angela Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881099471 PECOS PAC ID: 9133447634 Enrollment ID: I20150414000279 |
| Provider Name | Lacy L Hosay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538683636 PECOS PAC ID: 0840564449 Enrollment ID: I20170920002799 |
| Provider Name | Holly Rae Ackermann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003303389 PECOS PAC ID: 6608125281 Enrollment ID: I20180814004186 |
| Provider Name | Sana S Kang |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1922488584 PECOS PAC ID: 8325332067 Enrollment ID: I20190226001536 |
Id Consultants, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1400 Us Highway 61 Ste 260, Festus, MO 63028 Phone: 636-933-2344 Fax: 636-937-9031 | |
Comtrea Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 112 S 2nd St, Festus, MO 63028 Phone: 636-931-2700 | |
Compass Health, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 222 N Mill St, Festus, MO 63028 Phone: 844-853-8937 | |
Gastroenterology And Liver Consultants Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 420 W Main St, Festus, MO 63028 Phone: 636-931-2320 Fax: 636-937-9693 | |
Southern Missouri Infectious Disease Specialists Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1447 Us Highway 61 Ste C, Festus, MO 63028 Phone: 636-375-4153 Fax: 636-333-4510 | |
Mercy Clinic Adult Hospitalists- Jefferson, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1400 Us Highway 61, Festus, MO 63028 Phone: 314-364-4200 | |
South County Internal Medicine Physicians, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1479 Highway 61, Suite A, Festus, MO 63028 Phone: 636-579-6148 Fax: 888-756-6714 |