Jenny M Daniels, FNP-BC | |
163 E Bethalto Dr, Bethalto, IL 62010-1801 | |
(618) 433-6640 | |
(618) 433-6645 |
Full Name | Jenny M Daniels |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 9 Years |
Location | 163 E Bethalto Dr, Bethalto, Illinois |
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 |
---|---|---|---|
1346783230 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 2016029268 (Illinois) | Secondary |
363LX0001X | Nurse Practitioner - Obstetrics & Gynecology | 209013936 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Anderson Medical Group Llc | 5193792018 | 122 |
Entity Name | Fairview Heights Medical Group Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679503668 PECOS PAC ID: 6800784083 Enrollment ID: O20040309000650 |
Entity Name | Anderson Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700807716 PECOS PAC ID: 5193792018 Enrollment ID: O20040910001137 |
Mailing Address | Practice Location Address |
---|---|
Jenny M Daniels, FNP-BC 2023 Vadalabene Dr, Ste 200, Maryville, IL 62062-5636 Ph: (618) 288-7408 | Jenny M Daniels, FNP-BC 163 E Bethalto Dr, Bethalto, IL 62010-1801 Ph: (618) 433-6640 |
Kaylee Anne Bowen, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 163 E Bethalto Dr, Bethalto, IL 62010 Phone: 618-433-6640 | |
Mrs. Monica Marie Magowan, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 163 E Bethalto Dr, Bethalto, IL 62010 Phone: 618-433-6640 Fax: 618-433-6645 | |
Mrs. Stephany Renee Luchtefeld, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 159 E Mcarthur Dr, Bethalto, IL 62010 Phone: 618-258-7504 | |
Karra Nance Adams, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 163 E Bethalto Dr, Bethalto, IL 62010 Phone: 618-433-6640 | |
Amanda Willane Michaels, ADNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 163 E Bethalto Dr, Bethalto, IL 62010 Phone: 618-433-6490 | |
Elizabeth Elaine Bernat, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 163 E Bethalto Dr, Bethalto, IL 62010 Phone: 618-433-6640 Fax: 618-433-6645 |