Judith A Wienke, NP | |
1241 W Stadium Blvd, Jefferson City, MO 65109-6023 | |
(573) 635-5264 | |
(573) 634-7423 |
Full Name | Judith A Wienke |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 28 Years |
Location | 1241 W Stadium Blvd, Jefferson City, Missouri |
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 |
---|---|---|---|
1013988633 | NPI | - | NPPES |
215122 | Other | MO | BCBS |
428553119 | Medicaid | MO | |
CD6058 | Other | MO | RAILROAD GROUP |
P00222726 | Other | MO | MEDICARE RAILROAD |
752310 | Other | MO | HEALTHLINK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 089694 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ssm Health St Mary's Hospital Jefferson City | Jefferson city, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Jefferson City Medical Group Pc | 1850371089 | 100 |
Entity Name | Jefferson City Medical Group Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336189398 PECOS PAC ID: 1850371089 Enrollment ID: O20040908000924 |
Mailing Address | Practice Location Address |
---|---|
Judith A Wienke, NP Po Box 104240, Jefferson City, MO 65110-4240 Ph: (573) 635-0234 | Judith A Wienke, NP 1241 W Stadium Blvd, Jefferson City, MO 65109-6023 Ph: (573) 635-5264 |
Jeremey James Laflamme, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1241 W Stadium Blvd, Jefferson City, MO 65109 Phone: 573-635-5264 | |
Ashlee Kathleen Parkes, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1241 W Stadium Blvd, Jefferson City, MO 65109 Phone: 573-634-4878 Fax: 573-634-4723 | |
Jill A. Kliethermes, APRN, BC, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1241 W Stadium Blvd, Jefferson City, MO 65109 Phone: 573-556-5747 Fax: 573-635-5264 | |
Sara J Marso, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2511 W Edgewood Dr Ste D, Jefferson City, MO 65109 Phone: 573-761-0304 Fax: 573-635-0726 | |
Taran Elyse Burgess Murphy, DNP, APRN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1014 Madison St, Jefferson City, MO 65101 Phone: 573-644-6999 | |
Rachel Wieberg, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1241 W Stadium Blvd, Jefferson City, MO 65109 Phone: 573-635-5264 |