Jeanetta M Wilkerson (NPI# 1609304104, PAC ID# 2668720723) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1609304104 |
| PAC ID by PECOS | 2668720723 |
| Professional Enrollment ID | I20180806002137 |
| Full Name | Jeanetta M Wilkerson |
| Organization Legal Name | INTERVENTIONAL CENTER FOR PAIN |
| Address |
5203 Chippewa St Suite 301 Saint Louis MO 63109-2356 |
| Phone Number | 3144815000 |
| Gender | F |
| Medical School | LOGAN COLLEGE OF CHIROPRACTIC |
| Graduation Year | 2015 |
| Primary Specialty | CHIROPRACTIC |
| Group Practice PAC ID | 8921904129 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 5203 Chippewa St, Suite 301, Saint Louis, MO 63109-2356 | 3144815000 | INTERVENTIONAL CENTER FOR PAIN |
| Organization Legal Name | INTERVENTIONAL CENTER FOR PAIN |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lauren M Howdeshell | Nurse Practitioner | Interventional Center for Pain | 5203 Chippewa St, Suite 301, Saint Louis, MO 63109-2356 |
| Sheri R Williams | Chiropractic | Interventional Center for Pain | 5203 Chippewa St, Suite 301, Saint Louis, MO 63109-2356 |
| Ronald E Freilich | Podiatry | Interventional Center for Pain | 5203 Chippewa St, Suite 301, Saint Louis, MO 63109-2356 |
| Paul S Catanzaro | Internal Medicine | Interventional Center for Pain | 5203 Chippewa St, Suite 301, Saint Louis, MO 63109-2356 |
| Gurpreet S Padda | Pain Management | Interventional Center for Pain | 5203 Chippewa St, Suite 301, Saint Louis, MO 63109-2356 |
| Jessica M Liverar | Nurse Practitioner | Interventional Center for Pain | 5203 Chippewa St, Suite 301, Saint Louis, MO 63109-2356 |
| Matthew S Miller | Pain Management | Interventional Center for Pain | 5203 Chippewa St, Suite 301, Saint Louis, MO 63109-2356 |
| Larissa Layne Jones | Nurse Practitioner | Interventional Center for Pain | 5203 Chippewa St, Suite 301, Saint Louis, MO 63109-2356 |
| Joanna R Thomas | Chiropractic | Interventional Center for Pain | 5203 Chippewa St, Suite 301, Saint Louis, MO 63109-2356 |
| Street Address |
5203 CHIPPEWA ST SUITE 301 |
| City | SAINT LOUIS |
| State | MO |
| Zip | 63109-2356 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lauren M Howdeshell | Nurse Practitioner | Interventional Center for Pain | 5203 Chippewa St, Suite 301, Saint Louis, MO 63109-2356 |
| Sheri R Williams | Chiropractic | Interventional Center for Pain | 5203 Chippewa St, Suite 301, Saint Louis, MO 63109-2356 |
| Ronald E Freilich | Podiatry | Interventional Center for Pain | 5203 Chippewa St, Suite 301, Saint Louis, MO 63109-2356 |
| Paul S Catanzaro | Internal Medicine | Interventional Center for Pain | 5203 Chippewa St, Suite 301, Saint Louis, MO 63109-2356 |
| Gurpreet S Padda | Pain Management | Interventional Center for Pain | 5203 Chippewa St, Suite 301, Saint Louis, MO 63109-2356 |
| Michael H Ralph | Orthopedic Surgery | 5203 Chippewa St, Suite 200, Saint Louis, MO 63109-2356 | |
| Jessica M Liverar | Nurse Practitioner | Interventional Center for Pain | 5203 Chippewa St, Suite 301, Saint Louis, MO 63109-2356 |
| Matthew S Miller | Pain Management | Interventional Center for Pain | 5203 Chippewa St, Suite 301, Saint Louis, MO 63109-2356 |
| Larissa Layne Jones | Nurse Practitioner | Interventional Center for Pain | 5203 Chippewa St, Suite 301, Saint Louis, MO 63109-2356 |
| Joanna R Thomas | Chiropractic | Interventional Center for Pain | 5203 Chippewa St, Suite 301, Saint Louis, MO 63109-2356 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tom M Hawk | Orthopedic Surgery | 3824 Watson Rd, St Louis, MO 63109-1237 | |
| Rebecca Jean Smith | Physician Assistant | Forefront Dermatology Sc | 3915 Watson Rd, Suite 201, Saint Louis, MO 63109-1251 |
| Tammam Al Joundi | Cardiovascular Disease (cardiology) | Gateway Cardiology PC | 3915 Watson Rd, Suite 103, St Louis, MO 63109-1251 |
| Amee M Rozanc | Physician Assistant | Forefront Dermatology Sc | 3915 Watson Rd, Suite 201, Saint Louis, MO 63109-1251 |
| Liwa T Younis | Cardiovascular Disease (cardiology) | Gateway Cardiology PC | 3915 Watson Rd, Suite 103, St Louis, MO 63109-1251 |
| Elizabeth R Galler | Physician Assistant | Forefront Dermatology Sc | 3915 Watson Rd, Suite 201, Saint Louis, MO 63109-1251 |
| Joseph M Seria | Internal Medicine | 3915 Watson Rd, Suite 204, St Louis, MO 63109-1251 | |
| Vincent Sollecito Iii | Podiatry | 3915 Watson Rd, Suite 200, Saint Louis, MO 63109-1251 | |
| Otha Myles | Internal Medicine | 3915 Watson Rd, Suite 101, Saint Louis, MO 63109-1251 | |
| Edina Karahodzic | Family Medicine | 3915 Watson Rd, Suite 203, Saint Louis, MO 63109-1251 | |
| Find all physicians in zip 63109 | |||
| City | SAINT LOUIS |
| Zip Code | 63109 |
| Specialty | CHIROPRACTIC |
| City + Specialty | SAINT LOUIS + CHIROPRACTIC |
Please comment or provide details below to improve the information on Jeanetta M Wilkerson.
| 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.