Hunter Elijah Wadlow, | |
7245 Raider Rd Ste C, Bonne Terre, MO 63628-3767 | |
(573) 358-4600 | |
Not Available |
Full Name | Hunter Elijah Wadlow |
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Gender | Male |
Speciality | Nurse Practitioner |
Location | 7245 Raider Rd Ste C, Bonne Terre, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073236097 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 2022037256 (Missouri) | Primary |
Entity Name | Parkland Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922016112 PECOS PAC ID: 1951219237 Enrollment ID: O20050224000840 |
Mailing Address | Practice Location Address |
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Hunter Elijah Wadlow, 7245 Raider Rd Ste C, Bonne Terre, MO 63628-3767 Ph: () - | Hunter Elijah Wadlow, 7245 Raider Rd Ste C, Bonne Terre, MO 63628-3767 Ph: (573) 358-4600 |
Ms. Mary Suzanne Jones, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2727 Highway K, Bonne Terre, MO 63628 Phone: 573-358-5516 | |
Rachel Ann Francis, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 55 Nesbit Dr, Bonne Terre, MO 63628 Phone: 573-358-1700 Fax: 573-358-1702 | |
Zacharias Alan Dane, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 55 Nesbit Dr, Bonne Terre, MO 63628 Phone: 573-358-1700 Fax: 573-358-1702 | |
Ann Kirby, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11 S Division St Ste A, Bonne Terre, MO 63628 Phone: 573-723-1100 Fax: 573-723-1130 | |
Cristen Mae Mckibben, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7245 Raider Rd Ste C, Bonne Terre, MO 63628 Phone: 573-438-6000 | |
Glenda Charlene Counts, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11 S Division St Ste A, Bonne Terre, MO 63628 Phone: 573-723-1100 Fax: 573-723-1130 |