Jason D Butler, FNP | |
1 Southtowne Dr, Potosi, MO 63664-5729 | |
(735) 438-9355 | |
Not Available |
Full Name | Jason D Butler |
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Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 1 Southtowne Dr, Potosi, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417073297 | NPI | - | NPPES |
424914307 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 2003002337 (Missouri) | Primary |
Entity Name | Samuel U Rodgers Health Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578570982 PECOS PAC ID: 9739092826 Enrollment ID: O20031105000813 |
Entity Name | Ssm Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700966207 PECOS PAC ID: 6608776299 Enrollment ID: O20040729001034 |
Entity Name | Great Mines Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376536953 PECOS PAC ID: 3072598143 Enrollment ID: O20041004000035 |
Mailing Address | Practice Location Address |
---|---|
Jason D Butler, FNP 1 Southtowne Dr, Potosi, MO 63664-5729 Ph: (735) 438-9355 | Jason D Butler, FNP 1 Southtowne Dr, Potosi, MO 63664-5729 Ph: (735) 438-9355 |
Penny Kaye Grechus, MSN, RN, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Southtowne Dr, Potosi, MO 63664 Phone: 573-438-7892 | |
Kristin R Jennings, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Southtowne Dr, Potosi, MO 63664 Phone: 573-438-9355 | |
Mr. Shawn Lenn Geile, APRN FNP BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 108 Frizzell St, Potosi, MO 63664 Phone: 573-438-8500 Fax: 573-438-8787 | |
Jessica Lynn Holland, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Southtowne Dr, Potosi, MO 63664 Phone: 572-438-9355 | |
Deirdre L Nivens, FAMILY NURSE PRACITI Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 Health Way Dr, Potosi, MO 63664 Phone: 573-438-2977 Fax: 573-438-2874 | |
Kallie Belfield, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 300 Health Way Dr, Potosi, MO 63664 Phone: 573-438-1778 | |
Donna Yates, RN, BC, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 600 Purcell Dr, Suite B, Potosi, MO 63664 Phone: 573-438-9355 Fax: 573-438-7892 |