| Mrs Krista N Carter, PA-C | |
|
7068 S Outer 364, O Fallon, MO 63368-7757 | |
| (636) 240-6100 | |
| (636) 240-1182 |
| Full Name | Mrs Krista N Carter |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 7068 S Outer 364, O Fallon, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043622277 | NPI | - | NPPES |
| 2015009297 | Other | MO | STATE LICENSE |
| 2015009297 | Other | MO | LICENSE NO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 2015009297 (Missouri) | Primary |
| 363A00000X | Physician Assistant | 10001633A (Indiana) | Secondary |
| Entity Name | Integrated Rehab Consultants LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528379195 PECOS PAC ID: 7810184892 Enrollment ID: O20140617000546 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Krista N Carter, PA-C Po Box 74008272, Chicago, IL 60674-8272 Ph: (702) 899-0595 | Mrs Krista N Carter, PA-C 7068 S Outer 364, O Fallon, MO 63368-7757 Ph: (636) 240-6100 |
Rebecca J. Smith, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 9209 Phoenix Village Pkwy, O Fallon, MO 63368 Phone: 636-561-4630 Fax: 636-561-4610 |
Riley B Busch, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1101 Highway K, O Fallon, MO 63366 Phone: 636-379-6363 |
Mrs. Patricia Ann Holschen, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 832 Brockwell Dr, O Fallon, MO 63368 Phone: 314-368-4842 |
James W Harris, CSFA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 7827 Town Square Ave Ste 104, O Fallon, MO 63368 Phone: 636-734-0386 |
Ms. Olivia Faeth Hasselfeld, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2 Progress Point Pkwy, Div Im Medical Oncology, O Fallon, MO 63368 Phone: 800-647-2098 Fax: 314-362-3192 |
Jessica D Blanke, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 7827 Highway N Ste 104, O Fallon, MO 63368 Phone: 636-377-1177 Fax: 636-377-1911 |
Erin Friesen, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2299 Technology Dr Ste 130, O Fallon, MO 63368 Phone: 636-695-0400 Fax: 636-916-9456 |