MEDICARE: DR. MICHAELE MARY PENKOSKE M. D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	R9818	MO

General Provider Information

NPI Number	:	1477926624
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAELE MARY PENKOSKE M. D.

Provider Business Mailing Address
First Line	:	24 LAKE FOREST DR
Second Line	:
City	:	SAINT CHARLES
State	:	MO
Zip	:	63301-4524
Country	:	US
Telephone Number	:	314-397-6244
Fax Number	:

Provider Business Practice Location Address
First Line	:	24 LAKE FOREST DR
Second Line	:
City	:	SAINT CHARLES
State	:	MO
Zip	:	63301-4524
Country	:	US
Telephone Number	:	314-397-6244
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/10/2015
Last Update Date	:	11/10/2015

Similar Medicare Providers

1780516781 — AMAL AHMED ABDI
Practice Location Address:

3225 MAINE PRAIRIE RD
SAINT CLOUD, MN
56301-4524

Practice Phone: 952-212-4668
Practice Fax:

1679063291 — PERFECT CARE TRANSPORTATION, LLC
Practice Location Address:

45106 HUNTINGTON ST
SAINT AMANT, LA
70774-4524

Practice Phone: 225-828-8458
Practice Fax:

1689156721 — HOLLY ALEGRO JACKSON
Practice Location Address:

10550 MURAT DR
SAINT LOUIS, MO
63136-4524

Practice Phone: 314-358-6051
Practice Fax: 314-869-3373

1710626387 — MRS. JUANITA SHIMARIS BLOCKTON RN
Practice Location Address:

10562 MURAT DR
SAINT LOUIS, MO
63136-4524

Practice Phone: 314-216-1072
Practice Fax:

1831024405 — EVAN BLAND
Practice Location Address:

300 1ST CAPITOL DR
SAINT CHARLES, MO
63301-2844

Practice Phone: 636-947-5010
Practice Fax:

1508791641 — TURN ON THE LIGHT COUNSELING SERVICES, LLC
Practice Location Address:

1360 S 5TH ST STE 394
SAINT CHARLES, MO
63301-2459

Practice Phone: 314-246-0761
Practice Fax:

Directions to “ DR. MICHAELE MARY PENKOSKE M. D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.