Johanna Shea Estes, RD, IBCLC, MSNFNP-C | |
4101 N Water Tower Pl, Mount Vernon, IL 62864-6296 | |
(618) 244-6222 | |
(618) 246-1247 |
Full Name | Johanna Shea Estes |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 4101 N Water Tower Pl, Mount Vernon, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558685156 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 209027598 (Illinois) | Secondary |
363LF0000X | Nurse Practitioner - Family | 209027598 (Illinois) | Primary |
Entity Name | Deaconess Illinois Crossroads Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528785284 PECOS PAC ID: 0143692178 Enrollment ID: O20230221000097 |
Mailing Address | Practice Location Address |
---|---|
Johanna Shea Estes, RD, IBCLC, MSNFNP-C 8 Doctors Park Rd, Mount Vernon, IL 62864-6224 Ph: (618) 244-5500 | Johanna Shea Estes, RD, IBCLC, MSNFNP-C 4101 N Water Tower Pl, Mount Vernon, IL 62864-6296 Ph: (618) 244-6222 |
Amanda Engele, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5100 Lake Ter Ne Ste Wc, Mount Vernon, IL 62864 Phone: 618-899-5001 | |
Leslie Wright, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4101 N Water Tower Pl, Mount Vernon, IL 62864 Phone: 618-244-6222 | |
Fariahh Fazil, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2 Good Samaritan Way Ste 235, Mount Vernon, IL 62864 Phone: 618-899-3980 | |
Nancy K Kertz, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4117 S Water Tower Pl, Suite D, Mount Vernon, IL 62864 Phone: 618-242-4848 Fax: 618-242-4198 | |
Natalie Amason, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4107 S Water Tower Pl, Mount Vernon, IL 62864 Phone: 618-244-0031 Fax: 618-244-0056 | |
Melanie Cross, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4121 Veterans Memorial Dr, Mount Vernon, IL 62864 Phone: 618-242-3778 Fax: 618-242-2551 | |
Abbey Gettinger, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4200 Williamson Pl Ste 1a, Mount Vernon, IL 62864 Phone: 618-899-9200 Fax: 618-899-9206 |