Marla Nelson, | |
3 Saint Elizabeth Blvd Ste 4000, O Fallon, IL 62269-1284 | |
(618) 233-5480 | |
(618) 222-4790 |
Full Name | Marla Nelson |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 3 Saint Elizabeth Blvd Ste 4000, O Fallon, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437552130 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 180.009435 (Illinois) | Primary |
Entity Name | Southern Illinois Healthcare Foundation, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013198712 PECOS PAC ID: 1456256874 Enrollment ID: O20031126000641 |
Entity Name | Osf Healthcare System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437551322 PECOS PAC ID: 4284541806 Enrollment ID: O20150710000901 |
Entity Name | Osf Multi-specialty Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
Mailing Address | Practice Location Address |
---|---|
Marla Nelson, 3 Saint Elizabeth Blvd Ste 4000, O Fallon, IL 62269-1284 Ph: (618) 233-5480 | Marla Nelson, 3 Saint Elizabeth Blvd Ste 4000, O Fallon, IL 62269-1284 Ph: (618) 233-5480 |
Mr. George A Bates, MS, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8 Eagle Center, O Fallon, IL 62269 Phone: 618-624-1234 Fax: 618-624-2027 | |
Mrs. Christianne Meier Judy, MSW, LCSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 635 S Lincoln Ave, O Fallon, IL 62269 Phone: 618-530-7110 | |
Ashley Dawn Amburn, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 938 Evan Dr, O Fallon, IL 62269 Phone: 618-531-9637 | |
Leia Katherine Stein, Counselor Medicare: Not Enrolled in Medicare Practice Location: 785 Wall St Ste 200, O Fallon, IL 62269 Phone: 618-670-9069 | |
Ms. Mindy M Stratmann-sebol, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 781 Forest Green Dr, O Fallon, IL 62269 Phone: 618-581-6454 | |
Gina Mckee, MS, MA, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 220 E State St, Suite 2g, O Fallon, IL 62269 Phone: 618-727-0819 Fax: 618-206-8649 | |
Caitlin R Pflasterer, M.ED., LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7 Eagle Ctr Ste B-1, O Fallon, IL 62269 Phone: 618-577-0660 Fax: 618-726-2043 |