Amanda Gonzales, FNP-BC | |
6261 Ronald Reagan Dr Ste B19, Lake Saint Louis, MO 63367-2665 | |
(636) 561-3021 | |
(636) 561-3022 |
Full Name | Amanda Gonzales |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 7 Years |
Location | 6261 Ronald Reagan Dr Ste B19, Lake Saint Louis, Missouri |
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 |
---|---|---|---|
1649777848 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 2018012287 (Missouri) | Secondary |
363L00000X | Nurse Practitioner | 2018012287 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Lukes Hospital | Chesterfield, MO | Hospital |
Barnes-jewish West County Hospital | Creve coeur, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Physician Specialists Of St Lukes Llc | 1557366960 | 78 |
Entity Name | Physician Groups Lc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285664268 PECOS PAC ID: 3072421254 Enrollment ID: O20040220001157 |
Entity Name | Physician Specialists Of St Lukes Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235168410 PECOS PAC ID: 1557366960 Enrollment ID: O20060918000462 |
Mailing Address | Practice Location Address |
---|---|
Amanda Gonzales, FNP-BC 660 Mason Ridge Center Dr Ste 300, Saint Louis, MO 63141-8512 Ph: (314) 448-3791 | Amanda Gonzales, FNP-BC 6261 Ronald Reagan Dr Ste B19, Lake Saint Louis, MO 63367-2665 Ph: (636) 561-3021 |
Mrs. Michelle Lynn Breneman, PNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 Brevco Plz, Ste 101, Lake Saint Louis, MO 63367 Phone: 636-561-5437 Fax: 636-561-5100 | |
Jaclyn Morris, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 300 Medical Plz Ste 310, Lake Saint Louis, MO 63367 Phone: 636-625-2662 | |
Adam Lee Trimpe, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6261 Ronald Reagan Dr Ste B19, Lake Saint Louis, MO 63367 Phone: 636-561-3021 | |
Ms. Melanie V Maze, ANP, BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 400 Medical Plaza, Suite 100, Lake Saint Louis, MO 63367 Phone: 636-639-8600 Fax: 636-639-8676 | |
Lisa A Scott, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6261 Ronald Reagan Dr Ste B19, Lake Saint Louis, MO 63367 Phone: 636-561-3021 Fax: 636-561-3022 | |
Cherie Lanham Kimbrough, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 Medical Plaza Dr, Emergency Department, Lake Saint Louis, MO 63367 Phone: 636-625-5300 Fax: 636-625-5376 | |
Spencer John Mares, FNP-C, AGACNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 Medical Plz, Lake Saint Louis, MO 63367 Phone: 636-625-5200 |