Jacquelyn R Mcfadden (NPI# 1891809646, PAC ID# 7517962244) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1891809646 |
| PAC ID by PECOS | 7517962244 |
| Professional Enrollment ID | I20061002000128 |
| Full Name | Jacquelyn R Mcfadden |
| Organization Legal Name | BETTY JEAN KERR PEOPLES HEALTH CENTERS |
| Address |
11642 W Florissant Ave Florissant MO 63033-6723 |
| Phone Number | 3148388220 |
| Gender | F |
| Credential | MD |
| Medical School | UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE |
| Graduation Year | 2002 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 5991618837 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260104 | SSM DEPAUL HEALTH CENTER |
| Address | Phone | Organization |
|---|---|---|
| 11642 W Florissant Ave, Florissant, MO 63033-6723 | 3148388220 | BETTY JEAN KERR PEOPLES HEALTH CENTERS |
| 5701 Delmar Blvd, Saint Louis, MO 63112-2617 | 3143677848 | BETTY JEAN KERR PEOPLES HEALTH CENTERS |
| Organization Legal Name | BETTY JEAN KERR PEOPLES HEALTH CENTERS |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly L Williams | Podiatry | Betty Jean Kerr Peoples Health Centers | 5701 Delmar Blvd, Saint Louis, MO 63112-2617 |
| Michael K Johnson | Obstetrics/gynecology | Betty Jean Kerr Peoples Health Centers | 11642 W Florissant Ave, Florissant, MO 63033-6723 |
| Laura Ann Bergin | Obstetrics/gynecology | Betty Jean Kerr Peoples Health Centers | 5701 Delmar Blvd, Saint Louis, MO 63112-2617 |
| Carmel R Boykin-wright | Internal Medicine | Betty Jean Kerr Peoples Health Centers | 5701 Delmar Blvd, Saint Louis, MO 63112-2617 |
| Genie M Pierson | Obstetrics/gynecology | Betty Jean Kerr Peoples Health Centers | 5701 Delmar Blvd, Saint Louis, MO 63112-2617 |
| Sruti Surugucchi | Obstetrics/gynecology | Betty Jean Kerr Peoples Health Centers | 11642 W Florissant Ave, Florissant, MO 63033-6723 |
| Rosa A Kincaid | Family Medicine | Betty Jean Kerr Peoples Health Centers | 11642 W Florissant Ave, Florissant, MO 63033-6723 |
| Jacqueline G Harvey | Pediatric Medicine | Betty Jean Kerr Peoples Health Centers | 5701 Delmar Blvd, Saint Louis, MO 63112-2617 |
| Laurel D Fendrich | Obstetrics/gynecology | Betty Jean Kerr Peoples Health Centers | 11642 W Florissant Ave, Florissant, MO 63033-6723 |
| Jean E Johnson Strachan | Family Practice | Betty Jean Kerr Peoples Health Centers | 11642 W Florissant Ave, Florissant, MO 63033-6723 |
| Street Address |
11642 W FLORISSANT AVE |
| City | FLORISSANT |
| State | MO |
| Zip | 63033-6723 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael K Johnson | Obstetrics/gynecology | Betty Jean Kerr Peoples Health Centers | 11642 W Florissant Ave, Florissant, MO 63033-6723 |
| Sruti Surugucchi | Obstetrics/gynecology | Betty Jean Kerr Peoples Health Centers | 11642 W Florissant Ave, Florissant, MO 63033-6723 |
| Rosa A Kincaid | Family Medicine | Betty Jean Kerr Peoples Health Centers | 11642 W Florissant Ave, Florissant, MO 63033-6723 |
| Laurel D Fendrich | Obstetrics/gynecology | Betty Jean Kerr Peoples Health Centers | 11642 W Florissant Ave, Florissant, MO 63033-6723 |
| Jean E Johnson Strachan | Family Practice | Betty Jean Kerr Peoples Health Centers | 11642 W Florissant Ave, Florissant, MO 63033-6723 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carol F Merritt | Optometry | 2750 N Hwy 67, Florissant, MO 63033-1402 | |
| Kevin L Mcclain | Chiropractic | 2640 N Us Hwy 67, Florissant, MO 63033-1438 | |
| Nancy E Noel | Emergency Medicine | Fast Track Medical LLC | 2686 N Hwy 67, Florissant, MO 63033-1438 |
| Cynthia X Wiederholt | Emergency Medicine | Fast Track Medical LLC | 2686 N Hwy 67, Florissant, MO 63033-1438 |
| Bessevelyn M Tables | Family Medicine | Fast Track Medical LLC | 2686 N Hwy 67, Florissant, MO 63033-1438 |
| Manuel L San | Family Medicine | Fast Track Medical LLC | 2686 N Hwy 67, Florissant, MO 63033-1438 |
| David Dunn | Family Medicine | Fast Track Medical LLC | 2686 N Hwy 67, Florissant, MO 63033-1438 |
| Phillip J Greene | Family Medicine | Fast Track Medical LLC | 2686 N Hwy 67, Florissant, MO 63033-1438 |
| Kathryn A Followell | Family Medicine | Fast Track Medical LLC | 2686 N Hwy 67, Florissant, MO 63033-1438 |
| Paul D D Rains | Family Medicine | Fast Track Medical LLC | 2686 N Hwy 67, Florissant, MO 63033-1438 |
| Find all physicians in zip 63033 | |||
| City | FLORISSANT |
| Zip Code | 63033 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | FLORISSANT + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Jacquelyn R Mcfadden.
| 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.