Dr Jacob Daniel Wengert, DC, FNP | |
9515 Holy Cross Ln Ste 175, Breese, IL 62230-3618 | |
(618) 526-8430 | |
Not Available |
Full Name | Dr Jacob Daniel Wengert |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 4 Years |
Location | 9515 Holy Cross Ln Ste 175, Breese, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689097768 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 209023063 (Illinois) | Primary |
363LF0000X | Nurse Practitioner - Family | 209023063 (Illinois) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
St Josephs Hospital | Breese, IL | Hospital |
St Joseph's Hospital | Highland, IL | Hospital |
Hshs St Elizabeth's Hospital | O fallon, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Hshs Medical Group Inc | 5092857821 | 225 |
Entity Name | Anderson Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700807716 PECOS PAC ID: 5193792018 Enrollment ID: O20040910001137 |
Entity Name | Hshs Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962644807 PECOS PAC ID: 5092857821 Enrollment ID: O20100116000275 |
Mailing Address | Practice Location Address |
---|---|
Dr Jacob Daniel Wengert, DC, FNP 9515 Holy Cross Ln Ste 175, Breese, IL 62230-3618 Ph: () - | Dr Jacob Daniel Wengert, DC, FNP 9515 Holy Cross Ln Ste 175, Breese, IL 62230-3618 Ph: (618) 526-8430 |
Emily Rhoades, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9401 Holy Cross Ln Ste 112, Breese, IL 62230 Phone: 618-526-7271 Fax: 618-526-7313 | |
Kelsey L Mueller, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9401 Holy Cross Ln Ste 112, Breese, IL 62230 Phone: 618-526-7271 | |
Clare R Arentsen, FNP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 9401 Holy Cross Ln Ste 112, Breese, IL 62230 Phone: 618-526-7271 | |
Angela Dawn Herndon, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 397 North Plum Street, Breese, IL 62230 Phone: 618-526-4700 Fax: 618-566-7121 | |
Mrs. Kara Ann Huegen, AGNP-C, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9401 Holy Cross Ln Ste 112, Breese, IL 62230 Phone: 618-206-2082 | |
Meghan M Ziegler, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9401 Holy Cross Ln Ste 112, Breese, IL 62230 Phone: 618-526-7271 | |
Kelly Jean Kalmer, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9401 Holy Cross Ln Ste 112, Breese, IL 62230 Phone: 618-206-2082 |