| Westglen Family Physicians, Llc | |
|
225 Clarkson Rd Ellisville MO 63011-2278 | |
| (366) 857-7156 | |
| (314) 590-5944 |
| Full Name | Westglen Family Physicians, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 225 Clarkson Rd, Ellisville, Missouri |
| Authorized Official Name and Position | James Snider (VP PHYSICIAN NETWORK) |
| Authorized Official Contact | 6366857804 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Westglen Family Physicians, Llc 232 S Woods Mill Rd Chesterfield MO 63017-3406 Ph: (636) 685-7804 | Westglen Family Physicians, Llc 225 Clarkson Rd Ellisville MO 63011-2278 Ph: (366) 857-7156 |
| NPI Number | 1114957354 |
|---|---|
| Provider Enumeration Date | 07/04/2006 |
| Last Update Date | 07/17/2023 |
| Medicare PECOS PAC ID | 3678506102 |
|---|---|
| Medicare Enrollment ID | O20050915000398 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114957354 | NPI | - | NPPES |
| DE0423 | Other | MO | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Barbara A Obrien |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437211794 PECOS PAC ID: 4688573389 Enrollment ID: I20031231000671 |
| Provider Name | Patricia L Pitman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083915771 PECOS PAC ID: 1153519061 Enrollment ID: I20101220000444 |
| Provider Name | Kellie Hopkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952709099 PECOS PAC ID: 4082938899 Enrollment ID: I20150128000331 |
| Provider Name | Christine S Helmbrecht |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659743391 PECOS PAC ID: 4385948637 Enrollment ID: I20160205001543 |
| Provider Name | Eileen Holt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629439054 PECOS PAC ID: 3375801632 Enrollment ID: I20171215000351 |
| Provider Name | Graham Tyler Foster |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134416720 PECOS PAC ID: 5496039117 Enrollment ID: I20190102000597 |
| Provider Name | Bryan Duepner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861912826 PECOS PAC ID: 1456620830 Enrollment ID: I20200721004041 |
| Provider Name | William Koeppel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194162883 PECOS PAC ID: 5799900627 Enrollment ID: I20220829001299 |
| Provider Name | Dallas R Andrade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679247480 PECOS PAC ID: 8426456252 Enrollment ID: I20250328001766 |
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