Mr Charles Ryan Fields, ACNP | |
200 Health Care Dr, Greenville, IL 62246-1154 | |
(618) 664-1230 | |
Not Available |
Full Name | Mr Charles Ryan Fields |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Location | 200 Health Care Dr, Greenville, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609252444 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 2016014178 (Missouri) | Secondary |
363L00000X | Nurse Practitioner | 209019322 (Illinois) | Primary |
Entity Name | Washington University |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992746903 PECOS PAC ID: 9830008770 Enrollment ID: O20031119000372 |
Mailing Address | Practice Location Address |
---|---|
Mr Charles Ryan Fields, ACNP 660 S Euclid Ave, C B 8052, Saint Louis, MO 63110-1010 Ph: (314) 454-8917 | Mr Charles Ryan Fields, ACNP 200 Health Care Dr, Greenville, IL 62246-1154 Ph: (618) 664-1230 |
Ms. Tawny Nicole Thomas, DNP, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 201 Health Care Dr, Greenville, IL 62246 Phone: 618-664-1380 Fax: 618-664-4239 | |
Mrs. Cynthia K. Gray, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 201 Healthcare Dr, Greenville, IL 62246 Phone: 618-664-1380 Fax: 618-664-4239 | |
Darah Dodt, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 Health Care Dr, Greenville, IL 62246 Phone: 618-664-1230 | |
Mr. Bobby R Blum, ANP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 Health Care Dr, Greenville, IL 62246 Phone: 618-664-1230 | |
Mrs. Angela Veanne Jarrett, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 201 Health Care Dr, Greenville, IL 62246 Phone: 618-664-1380 Fax: 618-664-4239 | |
Mrs. Kathleen Alma Johnson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Health Care Dr, Greenville, IL 62246 Phone: 618-664-2531 Fax: 618-664-2553 | |
Mrs. Julie M Doll, RN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 201 Health Care Dr, Greenville, IL 62246 Phone: 618-664-1380 |