| Jonathan D Mayberry, AGACNP-BC | |
|
615 S New Ballas Rd, Saint Louis, MO 63141-8221 | |
| (314) 251-6000 | |
| Not Available |
| Full Name | Jonathan D Mayberry |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Critical Care Medicine |
| Location | 615 S New Ballas Rd, Saint Louis, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679330419 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LC0200X | Nurse Practitioner - Critical Care Medicine | 2015020871 (Missouri) | Primary |
| Entity Name | Mercy Clinic Adult Critical Care, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730119421 PECOS PAC ID: 3779512041 Enrollment ID: O20050808000024 |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan D Mayberry, AGACNP-BC 11245 Claywood Dr, Sappington, MO 63126-3415 Ph: (314) 223-5850 | Jonathan D Mayberry, AGACNP-BC 615 S New Ballas Rd, Saint Louis, MO 63141-8221 Ph: (314) 251-6000 |
Stephanie Lynn Shorey, WHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 621 S New Ballas Rd, Suite 2007b, Saint Louis, MO 63141 Phone: 314-991-5000 | |
Mr. Gary John Gardner, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4251 Forest Park Ave, Saint Louis, MO 63108 Phone: 618-363-9545 | |
Ms. Kim M French, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4921 Parkview Pl, Div Im Hematology, Ste 7b, Saint Louis, MO 63110 Phone: 314-362-7216 Fax: 314-362-8813 | |
Barbara Ann Giese, RN, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 456 N New Ballas Rd, Suite 304, Saint Louis, MO 63141 Phone: 314-567-6868 Fax: 314-567-0578 | |
Mrs. Anna Ouida Barton, WHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9450 Manchester Rd Ste 206, Saint Louis, MO 63119 Phone: 314-725-9300 | |
Mrs. Emily Carol Kemp, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Parkview Pl, Div Im Medical Oncology, Saint Louis, MO 63110 Phone: 800-647-2098 Fax: 314-362-3192 | |
Mrs. Michelle Marie Bloom, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Barnes Jewish Hospital Plz, Dept Anesthesiology, Saint Louis, MO 63110 Phone: 800-862-9980 Fax: 314-362-1185 |