Brenda S Gottuso, ANP | |
2175 Charbonier Rd, Suite B, Florissant, MO 63031-5500 | |
(314) 831-0181 | |
(314) 851-4471 |
Full Name | Brenda S Gottuso |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Adult Health |
Location | 2175 Charbonier Rd, Florissant, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902846694 | NPI | - | NPPES |
420126401 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | 092325 (Missouri) | Primary |
Entity Name | Impact Physician Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114428612 PECOS PAC ID: 6204199086 Enrollment ID: O20180920002447 |
Entity Name | Impact Physician Group Missouri Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962971531 PECOS PAC ID: 4082958574 Enrollment ID: O20181211001514 |
Mailing Address | Practice Location Address |
---|---|
Brenda S Gottuso, ANP Po Box 23340, Saint Louis, MO 63156-3340 Ph: (314) 831-0181 | Brenda S Gottuso, ANP 2175 Charbonier Rd, Suite B, Florissant, MO 63031-5500 Ph: (314) 831-0181 |
Mrs. Christine Ann Testa, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1225 Graham Rd Ste C-2310, Florissant, MO 63031 Phone: 314-953-6300 Fax: 314-953-6309 | |
Ms. Laura M Gramolino, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1225 Graham Rd, Florissant, MO 63031 Phone: 314-953-6994 | |
Rachel Ann Sappington, RN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2137 Charbonier Rd Ste B, Florissant, MO 63031 Phone: 314-831-0181 Fax: 314-831-4471 | |
Katie Ann Arter, ANP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1225 Graham Rd Ste C-2310, Florissant, MO 63031 Phone: 314-953-6300 | |
Maggie Lewis, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3433 N Hwy 67, Florissant, MO 63033 Phone: 314-755-1822 | |
Kimberly Ann Deptula, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 500 Howdershell Rd, Florissant, MO 63031 Phone: 314-687-2727 Fax: 314-687-2672 | |
Nicole A Phillips, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2535 Dresden Dr, Florissant, MO 63033 Phone: 314-422-9454 |