Moya Racquel Cook, FNP | |
502 W St Louis St, West Frankfort, IL 62896 | |
(618) 937-3400 | |
(618) 937-3407 |
Full Name | Moya Racquel Cook |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 502 W St Louis St, West Frankfort, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760610729 | NPI | - | NPPES |
80077375 | Other | MEDICARE RAILROAD | |
33308 | Other | HEALTH ALLIANCE | |
103788 | Other | HEALTHLINK | |
10019630 | Other | IL | ATTACHMENT |
10800012002 | Other | HEALTH CONNECT | |
36062597 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 209007626 (Illinois) | Primary |
Entity Name | Metro Infectious Disease Consultants Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235125717 PECOS PAC ID: 3072425784 Enrollment ID: O20031103000274 |
Entity Name | Integrated Health Of Southern Illinois Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982738274 PECOS PAC ID: 2365401122 Enrollment ID: O20041007000123 |
Mailing Address | Practice Location Address |
---|---|
Moya Racquel Cook, FNP 405 Rushing Dr, Herrin, IL 62948-3730 Ph: (618) 993-3300 | Moya Racquel Cook, FNP 502 W St Louis St, West Frankfort, IL 62896 Ph: (618) 937-3400 |
Adam Waller, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 502 W Saint Louis St Ste 4, West Frankfort, IL 62896 Phone: 618-937-3400 Fax: 618-997-9324 | |
Kendra Megan Fischer, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 309 W Saint Louis St, West Frankfort, IL 62896 Phone: 618-932-8375 Fax: 618-932-8575 | |
Angela Lea O'dell, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 502 W Saint Louis St, West Frankfort, IL 62896 Phone: 618-937-3400 Fax: 618-997-9324 | |
Mrs. Krysten Taylor Whitehead, APRN FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 909 W Main St, West Frankfort, IL 62896 Phone: 618-372-6040 | |
Max A Baier, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2553 Ken Gray Blvd, West Frankfort, IL 62896 Phone: 618-932-3937 Fax: 618-932-2734 |