Kelly Fields-wilburn, NP | |
610 N One Mile Rd, Dexter, MO 63841-2539 | |
(573) 624-3600 | |
Not Available |
Full Name | Kelly Fields-wilburn |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 14 Years |
Location | 610 N One Mile Rd, Dexter, 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 |
---|---|---|---|
1588968606 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 2001026712 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Missouri Delta Home Health | Sikeston, MO | Home health agency |
Elara Caring | Dexter, MO | Home health agency |
Poplar Bluff Regional Medical Center | Poplar bluff, MO | Hospital |
Southeasthealth Center Of Stoddard County | Dexter, MO | Hospital |
Southeasthealth | Cape girardeau, MO | Hospital |
Saint Francis Medical Center | Cape girardeau, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Poplar Bluff Regional Medical Center Llc | 6800707225 | 5 |
Select Physical Therapy Holdings Inc | 9537076401 | 1557 |
Entity Name | Poplar Bluff Regional Medical Center Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730330168 PECOS PAC ID: 6800707225 Enrollment ID: O20090911000300 |
Entity Name | Poplar Bluff Emergency Physicians, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679822647 PECOS PAC ID: 0648424614 Enrollment ID: O20130129000611 |
Mailing Address | Practice Location Address |
---|---|
Kelly Fields-wilburn, NP 200 Corporate Blvd, Suite 201, Lafayette, LA 70508-3870 Ph: (800) 893-9698 | Kelly Fields-wilburn, NP 610 N One Mile Rd, Dexter, MO 63841-2539 Ph: (573) 624-3600 |
Kerri Lynch, MSN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1200 N One Mile Rd, Dexter, MO 63841 Phone: 573-624-7575 | |
Shantel Miles, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1212n Saint Francis Dr, Dexter, MO 63841 Phone: 573-624-3600 | |
Mr. Bradford Joseph Davis, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 808 Speciality Dr Ste A, Dexter, MO 63841 Phone: 573-891-1250 Fax: 573-891-1320 | |
Ellen Vaughan, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 610 N. One Mile Road, Dexter, MO 63841 Phone: 573-624-3600 | |
Miss Ashley Marie Gantner, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1200 N One Mile Rd, Dexter, MO 63841 Phone: 573-624-7575 | |
Kristin Suzanne Wheeler Guethle, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1200 N One Mile Rd, Dexter, MO 63841 Phone: 573-421-3134 | |
Mrs. Laurie Muriel Jibben, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1200 N One Mile Rd, Dexter, MO 63841 Phone: 573-624-7575 Fax: 573-614-1966 |