Mrs Andra J Fontaine, FNP-C | |
100 Mercy Way, Joplin, MO 64804-4524 | |
(417) 782-7722 | |
(417) 556-3098 |
Full Name | Mrs Andra J Fontaine |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 19 Years |
Location | 100 Mercy Way, Joplin, 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 |
---|---|---|---|
1083890461 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 45766 (Kansas) | Secondary |
363LF0000X | Nurse Practitioner - Family | MO2001019721 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mercy Hospital Joplin | Joplin, MO | Hospital |
Mercy Hospital Carthage | Carthage, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mercy Clinic Joplin Llc | 0547300196 | 240 |
Entity Name | Mercy Clinic Joplin Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215264817 PECOS PAC ID: 0547300196 Enrollment ID: O20091218000092 |
Mailing Address | Practice Location Address |
---|---|
Mrs Andra J Fontaine, FNP-C 100 Mercy Way, Joplin, MO 64804-4524 Ph: (417) 782-7722 | Mrs Andra J Fontaine, FNP-C 100 Mercy Way, Joplin, MO 64804-4524 Ph: (417) 782-7722 |
Thad L Taylor, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Mercy Way, Joplin, MO 64804 Phone: 417-556-2300 Fax: 417-556-2906 | |
Ashley Southern-devoe, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3401 Mcintosh Cir Ste 200, Joplin, MO 64804 Phone: 417-347-3703 | |
Kevin Michael Teel, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2829 S. Jackson Avenue, Joplin, MO 64804 Phone: 417-624-0440 Fax: 417-624-9652 | |
Brittany Ann Putt, CFNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2719 E 32nd St, Joplin, MO 64804 Phone: 417-782-5522 Fax: 417-782-5866 | |
Sandra J Tinney, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3202 Mcintosh Circle, Suite 101, Joplin, MO 64804 Phone: 417-781-9200 Fax: 417-781-9471 | |
Crystal Joy Dyer, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1901 E 32nd St, Suite 20, Joplin, MO 64804 Phone: 417-781-2046 Fax: 417-781-2086 | |
Jessica Calista Holly, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1331 W 32nd St, Joplin, MO 64804 Phone: 417-347-6737 |