Jason Edward Portell, FNP-C | |
7245 Raider Rd Ste C, Bonne Terre, MO 63628-3767 | |
(573) 358-4600 | |
(573) 358-4654 |
Full Name | Jason Edward Portell |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 8 Years |
Location | 7245 Raider Rd Ste C, Bonne Terre, 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 |
---|---|---|---|
1457896664 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 2016044204 (Missouri) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mercy East Ambulatory Services Llc | 2365739240 | 94 |
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 |
Entity Name | Missouri Baptist Hospital Of Sullivan |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295743169 PECOS PAC ID: 2668380148 Enrollment ID: O20060410000616 |
Entity Name | Mercy East Ambulatory Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134673148 PECOS PAC ID: 2365739240 Enrollment ID: O20160920002054 |
Mailing Address | Practice Location Address |
---|---|
Jason Edward Portell, FNP-C 7245 Raider Rd Ste C, Bonne Terre, MO 63628-3767 Ph: (573) 358-4600 | Jason Edward Portell, FNP-C 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 | |
Hunter Elijah Wadlow, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7245 Raider Rd Ste C, Bonne Terre, MO 63628 Phone: 573-358-4600 | |
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 |