Miranda Francis Pogue, FNP-BC | |
320 E Highway 50, O Fallon, IL 62269-2704 | |
(618) 624-3368 | |
Not Available |
Full Name | Miranda Francis Pogue |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 13 Years |
Location | 320 E Highway 50, O Fallon, Illinois |
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 |
---|---|---|---|
1427324656 | NPI | - | NPPES |
14773424656 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 209.010340 (Illinois) | Secondary |
363LF0000X | Nurse Practitioner - Family | 2012008985 (Missouri) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mercy East Ambulatory Services Llc | 2365739240 | 94 |
Total Access Urgent Care Pc | 8820171929 | 107 |
Entity Name | Ssm Health Care St Louis |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275586174 PECOS PAC ID: 7810800737 Enrollment ID: O20031118000393 |
Entity Name | Cep America Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619332046 PECOS PAC ID: 6608056171 Enrollment ID: O20150312000325 |
Entity Name | Mercy East Ambulatory Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134673148 PECOS PAC ID: 2365739240 Enrollment ID: O20160920002054 |
Mailing Address | Practice Location Address |
---|---|
Miranda Francis Pogue, FNP-BC 320 E Highway 50, O Fallon, IL 62269-2704 Ph: (618) 624-3368 | Miranda Francis Pogue, FNP-BC 320 E Highway 50, O Fallon, IL 62269-2704 Ph: (618) 624-3368 |
Kathy Liefer, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3 Saint Elizabeth Blvd, O Fallon, IL 62269 Phone: 618-641-5803 | |
Megan Elizabeth Gomer, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1512 English Pine Ln, O Fallon, IL 62269 Phone: 309-368-8984 | |
Annamaria Griffith, DNP, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1405 N Green Mount Rd Ste 240, O Fallon, IL 62269 Phone: 618-632-9000 | |
Ms. Shambra Cullum, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Saint Elizabeth Blvd, O Fallon, IL 62269 Phone: 217-994-1485 | |
Mrs. Amy Marie Buck, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 670 Pierce Blvd, O Fallon, IL 62269 Phone: 618-206-2070 | |
Derek Pechacek, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 320 E Highway 50, O Fallon, IL 62269 Phone: 618-624-3368 Fax: 618-624-3387 | |
Mrs. Kimberly Burgess, AGNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 670 Pierce Blvd, O Fallon, IL 62269 Phone: 618-206-2094 |