Jacob Crust, | |
233 Clarkson Rd, Ellisville, MO 63011-2219 | |
(636) 256-8644 | |
Not Available |
Full Name | Jacob Crust |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 9 Years |
Location | 233 Clarkson Rd, Ellisville, 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 |
---|---|---|---|
1508236555 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 2015035376 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Lukes Hospital | Chesterfield, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Emergency Physicians Of St Lukes Llc | 3779714142 | 57 |
Entity Name | Emergency Physicians Of St Lukes Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215359815 PECOS PAC ID: 3779714142 Enrollment ID: O20140327001965 |
Mailing Address | Practice Location Address |
---|---|
Jacob Crust, 1238 Oak Borough Dr, Ballwin, MO 63021-8337 Ph: (573) 529-6972 | Jacob Crust, 233 Clarkson Rd, Ellisville, MO 63011-2219 Ph: (636) 256-8644 |
Mrs. Lisa Munch, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 233 Clarkson Rd, Ellisville, MO 63011 Phone: 636-256-8644 | |
Mrs. Patricia L Pitman, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 225 Clarkson Rd, Ellisville, MO 63011 Phone: 636-685-7715 Fax: 314-590-5916 | |
Audrey Heath, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 233 Clarkson Rd, Ellisville, MO 63011 Phone: 636-256-8644 | |
Mr. David M Draney, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 16105 Manchester Rd, Ellisville, MO 63011 Phone: 314-687-2718 | |
Tabitha Marie Braun, BSN, RN, MSN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 233 Clarkson Rd, Ellisville, MO 63011 Phone: 636-256-8644 | |
Mrs. Mary Elizabeth Orris, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 233 Clarkson Rd, Ellisville, MO 63011 Phone: 636-256-8644 | |
Mary Patricia Curtis, RN NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 713 Redstart Dr, Ellisville, MO 63021 Phone: 636-230-5646 |