Ms Amanda D Allen, AGNP | |
1418 Cross St, Div Im Medical Oncology, Ste 180, Shiloh, IL 62269-2914 | |
(800) 647-2098 | |
(314) 362-3192 |
Full Name | Ms Amanda D Allen |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 4 Years |
Location | 1418 Cross St, Shiloh, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346999315 | NPI | - | NPPES |
420108279 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LG0600X | Nurse Practitioner - Gerontology | 209026073 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Washington University | 9830008770 | 2516 |
Washington University Physicians In Illinois, Inc | 4789945163 | 99 |
Entity Name | Washington University |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992746903 PECOS PAC ID: 9830008770 Enrollment ID: O20031119000372 |
Mailing Address | Practice Location Address |
---|---|
Ms Amanda D Allen, AGNP 660 S Euclid Ave, Msc 8056-0910-01, Saint Louis, MO 63110-1010 Ph: (618) 607-1340 | Ms Amanda D Allen, AGNP 1418 Cross St, Div Im Medical Oncology, Ste 180, Shiloh, IL 62269-2914 Ph: (800) 647-2098 |
Danielle Lynn Frueh, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1170 Fortune Blvd, Shiloh, IL 62269 Phone: 618-997-5266 | |
Gaylin Manion, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1167 Fortune Blvd, Shiloh, IL 62269 Phone: 618-207-6900 Fax: 618-207-6901 | |
Christina Marie Weibley, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1170 Fortune Blvd, Shiloh, IL 62269 Phone: 618-997-5266 Fax: 833-431-2272 | |
Ms. Kayce Justine Bourgette, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1418 Cross St, Div Im Medical Oncology, Ste 180, Shiloh, IL 62269 Phone: 800-647-2098 Fax: 618-622-9724 | |
Kristy Wienstroer, WHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1191 Fortune Blvd, Shiloh, IL 62269 Phone: 618-206-6101 | |
Katy Helene Wine, MSN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1414 Cross St Ste 240, Shiloh, IL 62269 Phone: 618-234-2390 Fax: 618-234-9936 | |
Ki Ristia J Allen-lampe, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1116 Hartman Ln, Shiloh, IL 62221 Phone: 618-641-9011 Fax: 618-641-9017 |