| Jessica Willis, | |
|
54 Hospital Dr, Osage Beach, MO 65065-3050 | |
| (573) 302-4406 | |
| (573) 302-4408 |
| Full Name | Jessica Willis |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 54 Hospital Dr, Osage Beach, Missouri |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326704297 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 2021045842 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lake Regional Health System | Osage beach, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lake Regional Medical Management Inc | 3577467323 | 46 |
| Entity Name | Lake Regional Medical Management Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639134158 PECOS PAC ID: 3577467323 Enrollment ID: O20031122000076 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Willis, 54 Hospital Dr, Osage Beach, MO 65065-3050 Ph: (573) 302-4406 | Jessica Willis, 54 Hospital Dr, Osage Beach, MO 65065-3050 Ph: (573) 302-4406 |
Hailey Dunn, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1075 Nichols Rd, Osage Beach, MO 65065 Phone: 573-302-3999 Fax: 573-302-2751 | |
Maury Rose Hefele, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 38 Buoyant Pl, Osage Beach, MO 65065 Phone: 573-673-4584 | |
Jeannie M. Carlton, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 54 Hospital Dr, Suite 102, Osage Beach, MO 65065 Phone: 573-348-8045 Fax: 573-348-8046 | |
Brandi Nicole Kincaid, MSN, APRN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 54 Hospital Dr, Osage Beach, MO 65065 Phone: 573-302-2772 Fax: 573-302-2264 | |
Hallie Jean Willis, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 54 Hospital Dr, Osage Beach, MO 65065 Phone: 573-348-8000 | |
Mrs. Megan A Ray, WHNP-APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 54 Hospital Dr, Suite 201, Osage Beach, MO 65065 Phone: 573-302-2764 Fax: 573-302-2767 | |
Lyndsay D Funke, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 54 Hospital Dr, Osage Beach, MO 65065 Phone: 573-302-3199 Fax: 573-302-3198 |