Danielle Rebecca Thomas, | |
1055 Bowles Ave Ste 200, Fenton, MO 63026-2308 | |
(636) 496-3900 | |
Not Available |
Full Name | Danielle Rebecca Thomas |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 7 Years |
Location | 1055 Bowles Ave Ste 200, Fenton, 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 |
---|---|---|---|
1265900450 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 2013025839 (Missouri) | Secondary |
363L00000X | Nurse Practitioner | 2018011508 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ssm St Clare Health Center | Fenton, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ssm Medical Group Inc | 6608776299 | 496 |
Entity Name | Ssm Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700966207 PECOS PAC ID: 6608776299 Enrollment ID: O20040729001034 |
Mailing Address | Practice Location Address |
---|---|
Danielle Rebecca Thomas, Po Box 955534, Saint Louis, MO 63195-5534 Ph: () - | Danielle Rebecca Thomas, 1055 Bowles Ave Ste 200, Fenton, MO 63026-2308 Ph: (636) 496-3900 |
Ms. Lita Lapins, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1011 Bowles Ave, Suite 300, Fenton, MO 63026 Phone: 314-238-9100 Fax: 314-238-9110 | |
Laura Howard, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1055 Bowles Ave Ste 200, Fenton, MO 63026 Phone: 636-496-3900 | |
Rebecca Theresa Medlock, AGACNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 736 Marco Valley Ct, Fenton, MO 63026 Phone: 314-413-2187 | |
Allison Kate Brown, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1011 Bowles Ave, Fenton, MO 63026 Phone: 314-200-2713 | |
Brooke Salas, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 774 Gravois Bluffs Blvd Ste A, Fenton, MO 63026 Phone: 636-343-5223 | |
Mrs. Cynthia Visintine, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1345 Smizer Mill Rd Ste 1100, Fenton, MO 63026 Phone: 636-496-5022 | |
Elizabeth Shipp, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1345 Smizer Mill Rd Ste 1100, Fenton, MO 63026 Phone: 636-496-5023 |