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Theerarat Thanavaro in Lake St Louis, Missouri

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Theerarat Thanavaro has Nurse Practitioner as her primary medical specialty. Their primary office is: 300 Medical Plz in Lake St Louis, Missouri.

They're a part of the: Ssm Medical Group Inc medical group which has around 495 members. You can call their office at 636-625-2662 to schedule an appointment. They also accept the Medicare-approved amount as payment in full. They attended Sorry, her university is not listed and graduated in 2013 (around 11 years of experience). They are not listed as doing telehealth appointments, but this may have changed. It can't hurt to call and check. If anything it may encourage them to make them available if they are not currently.


Theerarat Thanavaro Office Phone and Directions

Theerarat Thanavaro
Ssm Medical Group Inc
300 Medical Plz
Lake St Louis, Missouri 63367
636-625-2662


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Phone: 636-625-2662


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Healthcare Info for Theerarat Thanavaro

Medical School: Sorry, her university is not listed
Graduation Year: 2013
The Primary Medical Specialty for Theerarat Thanavaro is listed as: Nurse Practitioner
Approximate Years of Experience: 11
PAC (PECOS ID)#: 9739494923
NPI #: 1265823074
NPI Created On: 02/16/2015
NPI Last Updated Listed as: 11/24/2020
Primary Taxonomy Code: 363LA2200X
License Number:
2014015283
Listed Gender: Female

Insurance, Services, Charges


Forms of insurance accepted by include, but are not limited to:

  • Humana
  • Celtic Insurance Company
  • Medicare

They are listed as accepting new patients.

Languages spoken by staff include: English.


Services and Procedures include:

  1. Routine electrocardiogram (ekg) using at least 12 leads with interpretation and report
  2. Established patient office or other outpatient visit, typically 15 minutes
  3. Established patient office or other outpatient, visit typically 25 minutes
  4. Subsequent hospital inpatient care, typically 25 minutes per day
  5. Physician telephone patient service, 11-20 minutes of medical discussion

Open Payments Data. This can include items to test (Durable Medical Equipment (DME)), Biological, Drug Samples, etc. This data must be reported to CMS.


Payments Total: $1

Number of Payments:: 1

Form of Payment: Cash or cash equivalent

Record ID:: 768869314

Being Disputed:: No

Product Related: Yes

Drug or Biological: Device

Product Category #1: Electromedical and Electrotherapeutic Apparatus

Name of Drug #1: LifeVest


Payments Total: $99

Number of Payments:: 1

Form of Payment: Cash or cash equivalent

Record ID:: 768869312

Being Disputed:: No

Product Related: Yes

Drug or Biological: Device

Product Category #1: Electromedical and Electrotherapeutic Apparatus

Name of Drug #1: LifeVest


Payments Total: $68

Number of Payments:: 1

Form of Payment: Cash or cash equivalent

Record ID:: 768876194

Being Disputed:: No

Product Related: Yes

Drug or Biological: Device

Product Category #1: Electromedical and Electrotherapeutic Apparatus

Name of Drug #1: LifeVest


Payments Total: $100

Number of Payments:: 1

Form of Payment: Cash or cash equivalent

Record ID:: 768876196

Being Disputed:: No

Product Related: Yes

Drug or Biological: Device

Product Category #1: Electromedical and Electrotherapeutic Apparatus

Name of Drug #1: LifeVest


Payments Total: $17

Number of Payments:: 1

Form of Payment: In-kind items and services

Third party is a Charity:: No

Record ID:: 814560217

Being Disputed:: No

Product Related: Yes

Drug or Biological: Drug

Product Category #1: CARDIOVASCULAR

Name of Drug #1: ENTRESTO

Open Associated Drug #1: 0078-0659-20


Payments Total: $15

Number of Payments:: 1

Form of Payment: In-kind items and services

Third party is a Charity:: No

Record ID:: 814560219

Being Disputed:: No

Product Related: Yes

Drug or Biological: Drug

Product Category #1: CARDIOVASCULAR

Name of Drug #1: ENTRESTO

Open Associated Drug #1: 0078-0659-20


Payments Total: $4

Number of Payments:: 1

Form of Payment: In-kind items and services

Third party is a Charity:: No

Record ID:: 814560221

Being Disputed:: No

Product Related: Yes

Drug or Biological: Drug

Product Category #1: CARDIOVASCULAR

Name of Drug #1: ENTRESTO

Open Associated Drug #1: 0078-0659-20


Payments Total: $12

Number of Payments:: 1

Form of Payment: In-kind items and services

Third party is a Charity:: No

Record ID:: 814560229

Being Disputed:: No

Product Related: Yes

Drug or Biological: Drug

Product Category #1: CARDIOVASCULAR

Name of Drug #1: ENTRESTO

Open Associated Drug #1: 0078-0659-20


Payments Total: $16

Number of Payments:: 1

Form of Payment: In-kind items and services

Third party is a Charity:: No

Record ID:: 814560223

Being Disputed:: No

Product Related: Yes

Drug or Biological: Drug

Product Category #1: CARDIOVASCULAR

Name of Drug #1: ENTRESTO

Open Associated Drug #1: 0078-0659-20


Payments Total: $9

Number of Payments:: 1

Form of Payment: In-kind items and services

Third party is a Charity:: No

Record ID:: 814560225

Being Disputed:: No

Product Related: Yes

Drug or Biological: Drug

Product Category #1: CARDIOVASCULAR

Name of Drug #1: ENTRESTO

Open Associated Drug #1: 0078-0659-20


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Providers in Ssm Medical Group Inc

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2.Syed Abdul Khader

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4.Pratibha Abraham

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5.Lindsey Adams

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View all 495 members of Ssm Medical Group Inc medical group