Kristine Eva Andrews, MD | |
375 Medical Group, 310 W. Losey Street, Scott Afb, IL 62225 | |
(618) 256-7018 | |
(618) 256-7594 |
Full Name | Kristine Eva Andrews |
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Gender | Female |
Speciality | Pediatrics |
Location | 375 Medical Group, Scott Afb, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700013828 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 0101248113 (Virginia) | Primary |
Entity Name | Ssm Health Care St Louis |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275586174 PECOS PAC ID: 7810800737 Enrollment ID: O20031118000393 |
Mailing Address | Practice Location Address |
---|---|
Kristine Eva Andrews, MD 375 Medical Group, 310 W. Losey Street, Scott Afb, IL 62225 Ph: (618) 256-7018 | Kristine Eva Andrews, MD 375 Medical Group, 310 W. Losey Street, Scott Afb, IL 62225 Ph: (618) 256-7018 |
Chauncey Denise Tarrant, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 310 W Losey St, Scott Afb, IL 62225 Phone: 618-256-7018 | |
Dr. Matthew Richard Keysor, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 310 W Losey St, Scott Afb, IL 62225 Phone: 618-256-9355 Fax: 618-256-7640 | |
Jeremy David Moll, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 310 W Losey St, Scott Afb, IL 62225 Phone: 618-256-7827 | |
Amanda Marie Asbury, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 310 W Losey St, Scott Afb, IL 62225 Phone: 618-256-9355 | |
Mary Beth Doyle, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 310 W Losey St, Scott Afb, IL 62225 Phone: 618-256-7018 Fax: 618-256-7594 |