Mrs Alicia R Whitwell, NP | |
330 N State St, Suite C, Desloge, MO 63601-3052 | |
(573) 431-2829 | |
(573) 431-7186 |
Full Name | Mrs Alicia R Whitwell |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 22 Years |
Location | 330 N State St, Desloge, 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 |
---|---|---|---|
1174602221 | NPI | - | NPPES |
421474909 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 145117 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Preferred Hospice Of Missouri | Dexter, MO | Hospice |
Central Dupage Hospital | Winfield, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Quality Health Care, Inc | 7911937842 | 5 |
Entity Name | Quality Health Care, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427180074 PECOS PAC ID: 7911937842 Enrollment ID: O20050819000317 |
Mailing Address | Practice Location Address |
---|---|
Mrs Alicia R Whitwell, NP 835 Ridgeview Dr, Bonne Terre, MO 63628-4002 Ph: (573) 358-0801 | Mrs Alicia R Whitwell, NP 330 N State St, Suite C, Desloge, MO 63601-3052 Ph: (573) 431-2829 |
Tabitha Jewel Pinkley, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 330 N State St, Desloge, MO 63601 Phone: 573-431-4449 | |
Debbie Anderson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 330 N State St, Suite C, Desloge, MO 63601 Phone: 573-431-2829 Fax: 573-431-5177 |