| Rite Med Group Of Mo Pc | |
|
10954 Kennerly Rd Saint Louis MO 63128-2018 | |
| (478) 347-2400 | |
| Not Available |
| Full Name | Rite Med Group Of Mo Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 10954 Kennerly Rd, Saint Louis, Missouri |
| Authorized Official Name and Position | Peyman Younesi (OWNER) |
| Authorized Official Contact | 7187090940 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rite Med Group Of Mo Pc 6136 170th St Apt M4 Fresh Meadows NY 11365-1957 Ph: (718) 709-0940 | Rite Med Group Of Mo Pc 10954 Kennerly Rd Saint Louis MO 63128-2018 Ph: (478) 347-2400 |
| NPI Number | 1306665781 |
|---|---|
| Provider Enumeration Date | 10/03/2024 |
| Last Update Date | 04/10/2025 |
| Medicare PECOS PAC ID | 2567991086 |
|---|---|
| Medicare Enrollment ID | O20250129001940 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306665781 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Lucyanne Moraa Okwomi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508309329 PECOS PAC ID: 3971883240 Enrollment ID: I20161201001881 |
| Provider Name | Peyman Eli Younesi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891942645 PECOS PAC ID: 0345420790 Enrollment ID: I20240513002936 |
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