Gloria Michelle Paul Edacheril, NP | |
20 Progress Point Pkwy Ste 108, O Fallon, MO 63368 | |
(636) 344-2400 | |
(636) 344-2401 |
Full Name | Gloria Michelle Paul Edacheril |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 14 Years |
Location | 20 Progress Point Pkwy Ste 108, O Fallon, 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 |
---|---|---|---|
1144502253 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 2011011839 (Missouri) | Secondary |
363LF0000X | Nurse Practitioner - Family | 2011011839 (Missouri) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Physician Groups Lc | 3072421254 | 427 |
Entity Name | Physician Groups Lc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285664268 PECOS PAC ID: 3072421254 Enrollment ID: O20040220001157 |
Mailing Address | Practice Location Address |
---|---|
Gloria Michelle Paul Edacheril, NP 20 Progress Point Pkwy Ste 108, O Fallon, MO 63368-2207 Ph: (636) 344-2400 | Gloria Michelle Paul Edacheril, NP 20 Progress Point Pkwy Ste 108, O Fallon, MO 63368 Ph: (636) 344-2400 |
Mrs. Shannon M Wood, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9209 Phoenix Village Pkwy, O Fallon, MO 63368 Phone: 636-561-4613 Fax: 636-561-4610 | |
Leah W Wangui, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 225 Mystic Cv, O Fallon, MO 63368 Phone: 314-583-4665 | |
Mrs. Dawn Marie Johns, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 920 N Main St, O Fallon, MO 63366 Phone: 314-687-2731 | |
Brooke Lauren Meyer, RN, MSN, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 300 Winding Woods Dr Ste 101, O Fallon, MO 63366 Phone: 636-978-7902 | |
Mrs. Christina Marie Ivy, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2765 Red Cedar Parc Dr S, O Fallon, MO 63368 Phone: 636-248-8072 | |
Elizabeth Vollmar, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1101 Highway K, O Fallon, MO 63366 Phone: 636-379-6363 |