| Ms Cassandra Marie Wallace, PNP | |
|
1 Childrens Pl, Saint Louis, MO 63110-1002 | |
| (314) 362-1408 | |
| (314) 454-2523 |
| Full Name | Ms Cassandra Marie Wallace |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Pediatrics |
| Location | 1 Childrens Pl, Saint Louis, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417354440 | NPI | - | NPPES |
| 420049883 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0200X | Nurse Practitioner - Pediatrics | 2014038394 (Missouri) | Primary |
| Entity Name | Washington University |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356382527 PECOS PAC ID: 9830008770 Enrollment ID: O20031106000605 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Cassandra Marie Wallace, PNP 1 Childrens Pl, Saint Louis, MO 63110-1002 Ph: (314) 454-2341 | Ms Cassandra Marie Wallace, PNP 1 Childrens Pl, Saint Louis, MO 63110-1002 Ph: (314) 362-1408 |
Stephanie Lynn Shorey, WHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 621 S New Ballas Rd, Suite 2007b, Saint Louis, MO 63141 Phone: 314-991-5000 | |
Mr. Gary John Gardner, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4251 Forest Park Ave, Saint Louis, MO 63108 Phone: 618-363-9545 | |
Ms. Kim M French, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4921 Parkview Pl, Div Im Hematology, Ste 7b, Saint Louis, MO 63110 Phone: 314-362-7216 Fax: 314-362-8813 | |
Barbara Ann Giese, RN, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 456 N New Ballas Rd, Suite 304, Saint Louis, MO 63141 Phone: 314-567-6868 Fax: 314-567-0578 | |
Mrs. Anna Ouida Barton, WHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9450 Manchester Rd Ste 206, Saint Louis, MO 63119 Phone: 314-725-9300 | |
Mrs. Emily Carol Kemp, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Parkview Pl, Div Im Medical Oncology, Saint Louis, MO 63110 Phone: 800-647-2098 Fax: 314-362-3192 | |
Mrs. Michelle Marie Bloom, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Barnes Jewish Hospital Plz, Dept Anesthesiology, Saint Louis, MO 63110 Phone: 800-862-9980 Fax: 314-362-1185 |