Midwest Medical Practitioners LLC
A Medicare group practice based in De Soto, MO: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 8729398425), with 10 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 8729398425
- Provider type
- Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice
- Enrolled in
- MO
- Enrollments
- 2
- Group size
- 8 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 2
Enrollment records 2
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20151110000108 | MO | Part B Supplier - Clinic/Group Practice | 1255709143 |
| O20221117000472 | MO | Part A Provider - Rural Health Clinic | 1174260111 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Midwest Medical Practitioners LLC
- Rural Health Clinic/Center
- De Soto, MO
- NPI 1174260111
-
Midwest Medical Practitioners LLC
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1255709143
Practice locations
- Saint Louis, MO1
- De Soto, MO1
Clinicians 10
Clinicians who reassign their Medicare benefits to this group (10) or whom Care Compare lists as members (8).
-
Holly Ackermann, FNP
- Family Nurse Practitioner
- De Soto, MO
- NPI 1003303389
-
Angela Marie Adams, M.S.N.; FNP-BC
- Family Nurse Practitioner
- De Soto, MO
- NPI 1881099471
-
Amanda Balk, RD, LD, PA-C
- Physician Assistant
- Saint Louis, MO
- NPI 1851806467
-
Shawn Lenn Geile, APRN FNP BC
- Family Nurse Practitioner
- Park Hills, MO
- NPI 1164863775
-
Lacy Lee Rae Hosay, FNP-BC
- Family Nurse Practitioner
- Saint Louis, MO
- NPI 1538683636
-
Danish Jabbar, MD
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1114183019
-
Trisha Mae Jenkins, FNP
- Family Nurse Practitioner
- Saint Louis, MO
- NPI 1740014208
-
Sana Saleem Kang, MD
- Rheumatology Physician
- Saint Louis, MO
- NPI 1922488584
-
Helen S Kornblum, MD
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1619903390
-
Shah Taha Sarmast, MD
- Family Medicine Physician
- Saint Louis, MO
- NPI 1801414289
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.