Stacy A Jefferson (NPI# 1720492028, PAC ID# 4082917497) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1720492028 |
| PAC ID by PECOS | 4082917497 |
| Professional Enrollment ID | I20170822002211 |
| Full Name | Stacy A Jefferson |
| Organization Legal Name | MERCY CLINIC EAST COMMUNITIES |
| Address |
637 Dunn Rd Suite 102 Hazelwood MO 63042-1755 |
| Phone Number | 3148315000 |
| Gender | F |
| Medical School | SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2013 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 7214827922 |
| Number of Group Practice Members | 363 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260020 | MERCY HOSPITAL ST LOUIS |
| Address | Phone | Organization |
|---|---|---|
| 637 Dunn Rd, Suite 102, Hazelwood, MO 63042-1755 | 3148315000 | MERCY CLINIC EAST COMMUNITIES |
| Organization Legal Name | MERCY CLINIC EAST COMMUNITIES |
| Physicians | 383 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rebecca Winchester | Family Medicine | Mercy Clinic East Communities | 2223 Technology Dr, Suite 35, O Fallon, MO 63368-7272 |
| Amy Marie Saak | Nurse Practitioner | Mercy Clinic East Communities | 802 Mel Carnahan Dr, Suite 215, Hillsboro, MO 63050-2427 |
| Katherine C Schoo | Nurse Practitioner | Mercy Clinic East Communities | 1375 N Hwy Dr, Mercy Clinic At Work Maritz, Fenton, MO 63026-1929 |
| Graham Tyler Foster | Family Medicine | Mercy Clinic East Communities | 9338 Olive Blvd, Suite 100a, Saint Louis, MO 63132-3248 |
| Danielle Besand | Nurse Practitioner | Mercy Clinic East Communities | 521 Anwijo Way, Warrenton, MO 63383-1388 |
| Candace Parker Fleming | Physician Assistant | Mercy Clinic East Communities | 739 W Springfield Ave, Gerald, MO 63037-2135 |
| Andrea M Schuster | Family Medicine | Mercy Clinic East Communities | 301 Theresa St, Cuba, MO 65453-1636 |
| Patrice Burnett | Nurse Practitioner | Mercy Clinic East Communities | 1390 Us Hwy 61 N-1000, Mercy Clinic Family Medicine Jeffe, Festus, MO 63028-4136 |
| Angela Mehler | Nurse Practitioner | Mercy Clinic East Communities | 5194 Jeremiah Blvd, Hillsboro, MO 63050-5815 |
| Spencer Cotterell | Physical Medicine and Rehabilitation | Mercy Clinic East Communities | 14561 N Outer 40 Rd, Chesterfield, MO 63017-5703 |
| Street Address |
637 DUNN RD SUITE 102 |
| City | HAZELWOOD |
| State | MO |
| Zip | 63042-1755 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erin E Sandoz | Registered Dietitian Or Nutrition Professional | American Multispecialty Group Inc | 637 Dunn Rd, Hazelwood, MO 63042-1759 |
| Anne N Stensland | Nurse Practitioner | American Multispecialty Group Inc | 637 Dunn Rd, Hazelwood, MO 63042-1759 |
| Joyce Boehmer | Internal Medicine | American Multispecialty Group Inc | 637 Dunn Rd, Suite 170, Hazelwood, MO 63042-1759 |
| Scott J Anderson | Internal Medicine | American Multispecialty Group Inc | 637 Dunn Rd, Hazelwood, MO 63042-1759 |
| Anne E Weissler | Physician Assistant | Mercy Clinic Dermatology LLC | 637 Dunn Rd, Suite 102b, Hazelwood, MO 63042-1755 |
| Carla Moore Beckerle | Nurse Practitioner | American Multispecialty Group Inc | 637 Dunn Rd, Hazelwood, MO 63042-1759 |
| Julie K Macphee | Internal Medicine | American Multispecialty Group Inc | 637 Dunn Rd, Hazelwood, MO 63042-1759 |
| Victoria G Thompson | Nurse Practitioner | Mercy Hospitals East Communities | 637 Dunn Rd, Suite 101, Hazelwood, MO 63042-1755 |
| Bethany M Madrid | Nurse Practitioner | American Multispecialty Group Inc | 637 Dunn Rd, Hazelwood, MO 63042-1759 |
| John Rice | Internal Medicine | American Multispecialty Group Inc | 637 Dunn Rd, Hazelwood, MO 63042-1759 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Clyde E Foland Ii | Chiropractic | 6110 Howdershell Rd, Hazelwood, MO 63042-1170 | |
| Alana M Arms | Clinical Social Worker | 737 Dunn Rd, Hazelwood, MO 63042-1740 | |
| Rose Bernardez | Clinical Social Worker | 737 Dunn Rd, Hazelwood, MO 63042-1740 | |
| Fern Y Ferguson Bush | Clinical Social Worker | 737 Dunn Rd, Hazelwood, MO 63042-1740 | |
| Seth N Barbanell | Cardiovascular Disease (cardiology) | Mercy Clinic Heart and Vascular LLC | 755 Dunn Rd, Suite 160, Hazelwood, MO 63042-1751 |
| Anthony T Sonn | Cardiovascular Disease (cardiology) | Mercy Clinic Heart and Vascular LLC | 755 Dunn Rd, Suite 160, Hazelwood, MO 63042-1751 |
| Robert H Neumayr | Cardiovascular Disease (cardiology) | Mercy Clinic Heart and Vascular LLC | 755 Dunn Rd, Suite 160, Hazelwood, MO 63042-1751 |
| John Nash | Cardiovascular Disease (cardiology) | Mercy Clinic Heart and Vascular LLC | 755 Dunn Rd, Suite 160, Hazelwood, MO 63042-1751 |
| Sara Marie Koenig | Nurse Practitioner | Mercy Clinic East Communities | 755 Dunn Rd, Suite 130, Hazelwood, MO 63042-1751 |
| Mark W Vogel | Cardiovascular Disease (cardiology) | Mercy Clinic Heart and Vascular LLC | 755 Dunn Rd, Suite 160, Hazelwood, MO 63042-1751 |
| Find all physicians in zip 63042 | |||
| City | HAZELWOOD |
| Zip Code | 63042 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | HAZELWOOD + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Stacy A Jefferson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.