Gary Paul Quillen, ANP | |
1068 S Woods Mill Rd Ste 220, Town And Country, MO 63017-8333 | |
(314) 394-1379 | |
(314) 394-1377 |
Full Name | Gary Paul Quillen |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 10 Years |
Location | 1068 S Woods Mill Rd Ste 220, Town And Country, Missouri |
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 |
---|---|---|---|
1861895013 | NPI | - | NPPES |
1861895013 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | AG1014022 (Missouri) | Secondary |
363LG0600X | Nurse Practitioner - Gerontology | AG1014022 (Missouri) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Christopher T Labonte Md Llc | 6002913761 | 4 |
Entity Name | Christopher T Labonte Md Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952409971 PECOS PAC ID: 6002913761 Enrollment ID: O20070515000376 |
Mailing Address | Practice Location Address |
---|---|
Gary Paul Quillen, ANP 1068 S Woods Mill Rd Ste 220, Town And Country, MO 63017-8333 Ph: (314) 394-1379 | Gary Paul Quillen, ANP 1068 S Woods Mill Rd Ste 220, Town And Country, MO 63017-8333 Ph: (314) 394-1379 |
Jodi Glaser, AGNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1068 S Woods Mill Rd, Town And Country, MO 63017 Phone: 314-394-1379 Fax: 314-394-1377 | |
Mary Margaret Mullane, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13001 N Outer 40 Rd, Ste 320, Town And Country, MO 63017 Phone: 314-567-7337 Fax: 314-851-4476 | |
Patricia Hee Huebner, AGPCNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1068 S Woods Mill Rd, Town And Country, MO 63017 Phone: 314-394-1379 Fax: 314-394-1377 | |
Ms. Jordan Black, CPNP-PC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13001 N Outer 40 Rd, Town And Country, MO 63017 Phone: 314-454-5437 |