Mrs Joann Marie Wilson, RN, APRN-BC | |
2023 Vadalabene Dr Ste 300, Maryville, IL 62062-5846 | |
(618) 288-6722 | |
(618) 288-2077 |
Full Name | Mrs Joann Marie Wilson |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 16 Years |
Location | 2023 Vadalabene Dr Ste 300, Maryville, 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 |
---|---|---|---|
1073762308 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | 151656 (Missouri) | Secondary |
363LA2200X | Nurse Practitioner - Adult Health | 209008172 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Infinite Wellness Chiropractic Ltd | 7911097126 | 2 |
Entity Name | Anderson Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700807716 PECOS PAC ID: 5193792018 Enrollment ID: O20040910001137 |
Entity Name | Urology Of St. Louis, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528017191 PECOS PAC ID: 6204723786 Enrollment ID: O20050502001141 |
Entity Name | Infinite Wellness Chiropractic Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518152669 PECOS PAC ID: 7911097126 Enrollment ID: O20071212000051 |
Entity Name | Interventional Pain Consultants Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225522063 PECOS PAC ID: 7618225020 Enrollment ID: O20180801001811 |
Entity Name | Neurosurgical Associates Of St Louis Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720732852 PECOS PAC ID: 0143615740 Enrollment ID: O20220512001499 |
Mailing Address | Practice Location Address |
---|---|
Mrs Joann Marie Wilson, RN, APRN-BC 916 Talon Dr, O Fallon, IL 62269-1848 Ph: (618) 628-8211 | Mrs Joann Marie Wilson, RN, APRN-BC 2023 Vadalabene Dr Ste 300, Maryville, IL 62062-5846 Ph: (618) 288-6722 |
Mrs. Katherine Anne Burnley, ANP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2133 Vadalabene Dr, Suite 5b, Maryville, IL 62062 Phone: 618-288-7605 Fax: 618-288-7644 | |
Mrs. Christie Marie Keen, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6800 State Route 162, Maryville, IL 62062 Phone: 618-288-5711 Fax: 618-288-4088 | |
Alyssa Ruwe Martz, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6812 State Route 162, Suite 123, Maryville, IL 62062 Phone: 618-288-9460 Fax: 618-288-9461 | |
Jennifer D Wesselman-williams, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2023 Vadalabene Dr Ste 200, Maryville, IL 62062 Phone: 618-288-7408 Fax: 618-288-7418 | |
Danielle Nicole Fries, AGNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6812 State Route 162 Ste 200, Maryville, IL 62062 Phone: 618-288-0900 Fax: 618-288-0909 | |
Deanna Moorman, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2023 Vadalabene Dr, Suite 200, Maryville, IL 62062 Phone: 618-288-7408 |