| Andrea E Ivy, NP | |
|
12800 Boenker Ln, Bridgeton, MO 63044-2438 | |
| (314) 551-0338 | |
| (314) 551-0336 |
| Full Name | Andrea E Ivy |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 12800 Boenker Ln, Bridgeton, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649220104 | NPI | - | NPPES |
| 429398209 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 137743 (Missouri) | Primary |
| Entity Name | Post Acute Medical Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730713025 PECOS PAC ID: 5193156115 Enrollment ID: O20240723000304 |
| Entity Name | Altea Medical Missouri Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649032608 PECOS PAC ID: 0143768762 Enrollment ID: O20240814002635 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrea E Ivy, NP 12800 Boenker Ln, Bridgeton, MO 63044-2438 Ph: (314) 551-0338 | Andrea E Ivy, NP 12800 Boenker Ln, Bridgeton, MO 63044-2438 Ph: (314) 551-0338 |
Debra E Solom, A.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12277 De Paul Dr Ste 100, Bridgeton, MO 63044 Phone: 314-209-5142 | |
Suneeta V. Parpelli, AGNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12303 De Paul Dr, Bridgeton, MO 63044 Phone: 314-317-0600 Fax: 314-317-0606 | |
Mrs. Megan L Wren, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12255 De Paul Dr Ste 420n, Bridgeton, MO 63044 Phone: 314-298-3893 Fax: 314-851-4408 | |
Saima Baig, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12255 De Paul Dr Ste 490, Bridgeton, MO 63044 Phone: 314-344-7770 | |
Ms. Amy Elizabeth Mcalister, PNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12255 Depaul Drive, Suite 370, Bridgeton, MO 63044 Phone: 314-209-5222 Fax: 314-092-5224 | |
Susan H Fliesher, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12303 Depaul Drive, Bridgeton, MO 63044 Phone: 314-344-6000 | |
Mrs. Kathleen Konys, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12303 De Paul Dr, Bridgeton, MO 63044 Phone: 800-305-6616 |