Briana Waldeck, NP | |
5213 Godfrey Rd Ste 110, Godfrey, IL 62035-2510 | |
(618) 619-3330 | |
(618) 619-3390 |
Full Name | Briana Waldeck |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 10 Years |
Location | 5213 Godfrey Rd Ste 110, Godfrey, 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 |
---|---|---|---|
1477952067 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 209011703 (Illinois) | Primary |
363LF0000X | Nurse Practitioner - Family | 209011703 (Illinois) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Fairview Heights Medical Group Sc | 6800784083 | 346 |
Entity Name | Fairview Heights Medical Group Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679503668 PECOS PAC ID: 6800784083 Enrollment ID: O20040309000650 |
Mailing Address | Practice Location Address |
---|---|
Briana Waldeck, NP 340 W Lincoln St, Suite 500, Belleville, IL 62220-1900 Ph: (618) 277-7400 | Briana Waldeck, NP 5213 Godfrey Rd Ste 110, Godfrey, IL 62035-2510 Ph: (618) 619-3330 |
Christen E Rincker, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5213 Godfrey Rd Ste 110, Godfrey, IL 62035 Phone: 618-619-3330 | |
Christina Varady, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5303 Whispering Woods Dr, Godfrey, IL 62035 Phone: 314-541-8248 | |
Mrs. Sarah Ann Becker, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5520 Godfrey Rd, Ste B, Godfrey, IL 62035 Phone: 618-463-7800 Fax: 618-463-0073 | |
Ms. Benedicta I Odemerho, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5800 Godfrey Rd, Fobes 1525, Godfrey, IL 62035 Phone: 618-468-6800 Fax: 618-468-7410 | |
Bethany E Huelskoetter, APN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 6702 Godfrey Road, Godfrey, IL 62035 Phone: 618-467-1520 Fax: 618-467-1521 | |
Dana Renee Longmeyer, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5800 Godfrey Rd, Godfrey, IL 62035 Phone: 618-468-4431 |