| Tri-county Family Practice, LLC | |
|
5551 Winghaven Blvd Ste 142 O Fallon MO 63368-3618 | |
| (636) 695-2510 | |
| (314) 590-5914 |
| Full Name | Tri-county Family Practice, LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 5551 Winghaven Blvd Ste 142, O Fallon, Missouri |
| Authorized Official Name and Position | Darren R. Haskell (CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 3142056444 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tri-county Family Practice, LLC 232 S Woods Mill Rd Chesterfield MO 63017-3406 Ph: (636) 685-7804 | Tri-county Family Practice, LLC 5551 Winghaven Blvd Ste 142 O Fallon MO 63368-3618 Ph: (636) 695-2510 |
| NPI Number | 1285720169 |
|---|---|
| Provider Enumeration Date | 10/05/2006 |
| Last Update Date | 03/05/2026 |
| Certification Date | 03/05/2026 |
| Medicare PECOS PAC ID | 5294769238 |
|---|---|
| Medicare Enrollment ID | O20050920000721 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285720169 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Tammy L Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346317583 PECOS PAC ID: 3375645633 Enrollment ID: I20070216000659 |
| Provider Name | Jennifer L Knox |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184822801 PECOS PAC ID: 5496879884 Enrollment ID: I20100908000537 |
| Provider Name | Jeanne M Ritchie |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235477647 PECOS PAC ID: 5698917383 Enrollment ID: I20130808000584 |
| Provider Name | Sarah R Lavy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952783227 PECOS PAC ID: 6800109646 Enrollment ID: I20150722004479 |
| Provider Name | Rebecca E Melvin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609079409 PECOS PAC ID: 9931259207 Enrollment ID: I20170705002420 |
| Provider Name | Jennifer Christine Raffaelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518409283 PECOS PAC ID: 9537410832 Enrollment ID: I20180926001233 |
| Provider Name | Meghan Michelle Henningsen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013368455 PECOS PAC ID: 7810289642 Enrollment ID: I20190907000214 |
| Provider Name | Tara Naomi Jackson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770072332 PECOS PAC ID: 9133524812 Enrollment ID: I20210818001442 |
| Provider Name | Lindsey Rachelle Bender |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649958703 PECOS PAC ID: 1456705755 Enrollment ID: I20230920001545 |
| Provider Name | Heidi Kathleen Jacobs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194596627 PECOS PAC ID: 8527503010 Enrollment ID: I20240709001498 |
| Provider Name | Dallas Andrade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679247480 PECOS PAC ID: 8426456252 Enrollment ID: I20250328001766 |
| Provider Name | Maryam Riaz Cheema |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306716048 PECOS PAC ID: 8921577115 Enrollment ID: I20260518000644 |
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