Mrs Keisha Marie Young, FNP-C | |
604 Pierce Blvd Ste 150, O Fallon, IL 62269-2588 | |
(618) 222-9244 | |
Not Available |
Full Name | Mrs Keisha Marie Young |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 8 Years |
Location | 604 Pierce Blvd Ste 150, O Fallon, 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 |
---|---|---|---|
1356833941 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 2018005309 (Missouri) | Secondary |
363L00000X | Nurse Practitioner | 209017366 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ssm Medical Group Inc | 6608776299 | 496 |
Ssm Medical Group Inc | 6608776299 | 496 |
Entity Name | Ssm Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700966207 PECOS PAC ID: 6608776299 Enrollment ID: O20040729001034 |
Mailing Address | Practice Location Address |
---|---|
Mrs Keisha Marie Young, FNP-C Po Box 955534, Saint Louis, MO 63195-5534 Ph: () - | Mrs Keisha Marie Young, FNP-C 604 Pierce Blvd Ste 150, O Fallon, IL 62269-2588 Ph: (618) 222-9244 |
Kathy Liefer, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3 Saint Elizabeth Blvd, O Fallon, IL 62269 Phone: 618-641-5803 | |
Megan Elizabeth Gomer, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1512 English Pine Ln, O Fallon, IL 62269 Phone: 309-368-8984 | |
Annamaria Griffith, DNP, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1405 N Green Mount Rd Ste 240, O Fallon, IL 62269 Phone: 618-632-9000 | |
Ms. Shambra Cullum, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Saint Elizabeth Blvd, O Fallon, IL 62269 Phone: 217-994-1485 | |
Mrs. Amy Marie Buck, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 670 Pierce Blvd, O Fallon, IL 62269 Phone: 618-206-2070 | |
Derek Pechacek, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 320 E Highway 50, O Fallon, IL 62269 Phone: 618-624-3368 Fax: 618-624-3387 | |
Mrs. Kimberly Burgess, AGNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 670 Pierce Blvd, O Fallon, IL 62269 Phone: 618-206-2094 |