Individual provider Active NPI

Patricia Weilert, M.D.

  • Family Medicine Physician
  • Arnold, MO
National Provider Identifier
1316100894
Registry record updated Mar 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2011014011 Issued in MO
Practice address
3619 Richardson Square Dr
Arnold, MO 63010-6022
Phone
(636) 717-6700
Fax
(636) 464-6755
NPI assigned
Jul 6, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2008018039 MO
Family Medicine Physician 207Q00000X 2011014011 MO Primary

Addresses

Primary practice location

3619 Richardson Square Dr
Arnold, MO 63010-6022

Mailing address

3619 Richardson Square Dr
Arnold, MO 63010-6022
Phone (636) 717-6700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110915000373 MO Practitioner - Family Practice 7618148032 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Saint Louis University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy East Ambulatory Services LLCGroup PAC ID 2365739240, 102 clinicians

Practice addresses (Care Compare)

10700 Manchester Rd
Suite E
Kirkwood, MO 63122-1307
Phone (314) 428-9541

13275 Manchester Rd
Saint Louis, MO 63131-1748
Phone (314) 396-8222

1722 Clarkson Rd
Chesterfield, MO 63017-4976
Phone (636) 206-2665

409 Lafayette Ctr
Manchester, MO 63011-3943
Phone (636) 707-0764

4260 Hampton Ave
Saint Louis, MO 63109-2119
Phone (314) 282-6323

9551 Watson Rd
Mercy Gohealth Crestwood
Saint Louis, MO 63126-1532
Phone (314) 501-1826

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2008018039MOMDFamily Medicine Physician
2011014011MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy East Ambulatory Services LLC CurrentSince Nov 1, 2020 Accepting new patients

Locations

409 Lafayette Ctr
Manchester, MO 63011
Phone (636) 707-0764

901 Patients First Dr
Ste 1200
Washington, MO 63090
Phone (636) 390-1777

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1215302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489536000000",
    "number": "1316100894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3619 RICHARDSON SQUARE DR",
            "city": "ARNOLD",
            "state": "MO",
            "postal_code": "630106022",
            "telephone_number": "636-717-6700",
            "fax_number": "636-464-6755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3619 RICHARDSON SQUARE DR",
            "city": "ARNOLD",
            "state": "MO",
            "postal_code": "630106022",
            "telephone_number": "636-717-6700",
            "fax_number": "636-464-6755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEILERT",
        "first_name": "PATRICIA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-06",
        "last_updated": "2017-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2008018039",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2011014011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arnold, MO

Sources for this page

Verify at the official NPI Registry.