Rebecca Deatherage Buwalda is a Bridgeton, Missouri based nurse practitioner with 25 years of experience in . She completed her graduation in 1999. and . She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Rebecca Deatherage Buwalda is FNP 124462 in Missouri. Her current practice location is 12255 De Paul Dr Ste 600, Bridgeton. Patients can reach her at 314-209-5100 or can fax her at 314-291-9508. Rebecca Deatherage Buwalda is APRNBC and her NPI number (Unique professional ID assigned by NPPES) is 1366477226. Rebecca Deatherage Buwalda has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Rebecca Deatherage Buwalda speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Rebecca Deatherage Buwalda
Specialization:
Nurse Practitioner (NP)
Gender:
Female
Credentials:
APRNBC
Experience:
25+ years
Medical School Attended:
Other
Graduation Year:
1999
Accepts Medicare Assignment:
Yes
Practice Address:
12255 De Paul Dr Ste 600, Bridgeton, Missouri, 63044-2515
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
5890790075
Enrollment ID:
I20060921000290
NPI Number:
1366477226
NPI Enumeration Date:
11 Jul, 2006
NPI Last Update On:
20 Oct, 2020
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Rebecca Deatherage Buwalda are as mentioned below.
License Number
Specialization
State
Status
FNP 124462
Missouri
Primary
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
(260104)
Bridgeton, MO
Acute Care Hospital
(260005)
Saint charles, MO
Acute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Rebecca Deatherage Buwalda is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Ssm Medical Group Inc (6608776299)
484
Other Medical Identifiers:
Other legacy medical identifiers associated with Rebecca Deatherage Buwalda such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
P21556
Other
Missouri
RAILROAD MEDICARE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Rebecca Deatherage Buwalda Po Box 955534, Saint Louis, Missouri
Zip:
63195-2510
Patients can reach Rebecca Deatherage Buwalda at 12255 De Paul Dr Ste 600, Bridgeton, Missouri or can call to book an appointment on 314-209-5100.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.