Community Wellness Medical Associates a PC
A Medicare group practice based in Saint Louis, MO: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 0042697088), with 13 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 0042697088
- Provider type
- Part B Supplier - Clinic/Group Practice
- Enrolled in
- CA, DC, FL, GA, IA, IL, IN, KY, MI, MO, NC, NV, OH, SC, TN, TX, WI, WV
- Enrollments
- 18
- Group size
- 3 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 18
Enrollment records 18
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20221004003535 | FL | Part B Supplier - Clinic/Group Practice | 1972250694 |
| O20220913001280 | KY | Part B Supplier - Clinic/Group Practice | 1972250694 |
| O20221102003426 | NC | Part B Supplier - Clinic/Group Practice | 1972250694 |
| O20220613000232 | WV | Part B Supplier - Clinic/Group Practice | 1972250694 |
| O20220513000682 | CA | Part B Supplier - Clinic/Group Practice | 1952995615 |
| O20230526001565 | TN | Part B Supplier - Clinic/Group Practice | 1972250694 |
| O20230828003095 | IN | Part B Supplier - Clinic/Group Practice | 1972250694 |
| O20230825001605 | MO | Part B Supplier - Clinic/Group Practice | 1972250694 |
| O20230825001567 | IA | Part B Supplier - Clinic/Group Practice | 1972250694 |
| O20230913000165 | SC | Part B Supplier - Clinic/Group Practice | 1972250694 |
| O20231122000606 | DC | Part B Supplier - Clinic/Group Practice | 1972250694 |
| O20231121002171 | IL | Part B Supplier - Clinic/Group Practice | 1972250694 |
| O20231114003335 | GA | Part B Supplier - Clinic/Group Practice | 1972250694 |
| O20230926003441 | MI | Part B Supplier - Clinic/Group Practice | 1972250694 |
| O20231212001935 | WI | Part B Supplier - Clinic/Group Practice | 1972250694 |
| O20231227000524 | OH | Part B Supplier - Clinic/Group Practice | 1972250694 |
| O20230802002204 | NV | Part B Supplier - Clinic/Group Practice | 1972250694 |
| O20230816000050 | TX | Part B Supplier - Clinic/Group Practice | 1972250694 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Community Wellness Medical Associates a PC
- Family Medicine Physician
- Danville, KY
- NPI 1952995615
-
Community Wellness Medical Associates a PC
dba Community Wellness Medical Associates, P.S.C.
- Family Medicine Physician
- Danville, KY
- NPI 1972250694
Practice locations
- Danville, KY1
- Tallahassee, FL1
- Fayetteville, NC1
- Campbell, CA1
- Martinsburg, WV1
- Atlanta, GA1
- Nashville, TN1
- Columbus, OH1
- Chicago, IL1
- Madison, WI1
- Arlington, VA1
- Columbia, SC1
- Bloomfield Hills, MI1
- Odessa, TX1
- Des Moines, IA1
- Indianapolis, IN1
- Las Vegas, NV1
- Saint Louis, MO1
Clinicians 13
Clinicians who reassign their Medicare benefits to this group (13) or whom Care Compare lists as members (3).
-
Melissa Adams, APRN
- Family Nurse Practitioner
- Owingsville, KY
- NPI 1740681766
-
Christine Blackburn, FNP-C
- Family Nurse Practitioner
- University Place, WA
- NPI 1548445505
-
Michael Tinamisan Catausan, MD
- Family Medicine Physician
- Danville, KY
- NPI 1932326071
-
Jawanner Winding Davis, FNP
- Family Nurse Practitioner
- Orlando, FL
- NPI 1770877623
-
Edward Delos Trino, FNP
- Family Nurse Practitioner
- Atascadero, CA
- NPI 1346773306
-
Tonya Carlette Eubanks, APRN
- Family Nurse Practitioner
- Brentwood, TN
- NPI 1689133571
-
Jennifer Fix, FNP-C
- Family Nurse Practitioner
- Wesley Chapel, FL
- NPI 1578097143
-
Brian Michael Grimm, MD
- Family Medicine Physician
- Palmdale, CA
- NPI 1871540815
-
Angela Renee Mason, NP-C
- Family Nurse Practitioner
- Rockwall, TX
- NPI 1093262461
-
Michael Phillips, MD
- Emergency Medicine Physician
- Oakland, CA
- NPI 1013927771
-
Fletcher M. M. Schubert, APRN-NP
- Family Nurse Practitioner
- Tonganoxie, KS
- NPI 1083162903
-
Sharon Sims, APRN
- Family Nurse Practitioner
- Tampa, FL
- NPI 1689299612
-
Dina Marie Whiteaker, APRN
- Family Nurse Practitioner
- Omaha, NE
- NPI 1578841490
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.