Individual ProviderRichkard Saint LouisNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice AddressClark Health Clinic Womack 5-4257 Bastonge St, Fort Liberty, NC 28310-9098(910) 907-2575(561) 713-3856PECOS EnrollmentBased on the most recent information from CMS, provider Richkard Saint Louis is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records today at 9:43 AM.Profile DetailsProvider ID1154840296Provider TypeIndividualFull NameSaint Louis, RichkardGenderMaleSole ProprietorNoEnumeration Date9/10/2017Last Updated9/25/2024Contact InformationPractice LocationPractice AddressClark Health Clinic Womack 5-4257 Bastonge St, Fort Liberty, NC 28310-9098Phone(910) 907-2575Fax(910) 907-9606Mailing LocationMailing Address207 SE 4th Ave, Delray Beach, FL 33483-4517Phone(561) 713-3856FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseARNP9384988Florida