Mrs Lacey Sullivan, FNP-BC | |
618 Maple Valley Dr, Farmington, MO 63640 | |
(573) 756-3400 | |
(573) 756-0800 |
Full Name | Mrs Lacey Sullivan |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 12 Years |
Location | 618 Maple Valley Dr, Farmington, 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 |
---|---|---|---|
1174951503 | NPI | - | NPPES |
2013037701 | Other | MO | FNP LICENSE |
2008021920 | Other | MO | RN LICENSE |
2013017822 | Other | MO | ANCC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 2013037701 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ste Genevieve County Memorial Hospital | Sainte genevieve, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Xiaohui's Medical, Llc | 2163551714 | 4 |
Ste Genevieve County Memorial Hospital | 3274432802 | 72 |
Entity Name | Ste Genevieve County Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184658387 PECOS PAC ID: 3274432802 Enrollment ID: O20040102000645 |
Entity Name | Ste Genevieve County Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730238551 PECOS PAC ID: 3274432802 Enrollment ID: O20040310001286 |
Entity Name | Ste Genevieve County Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073587655 PECOS PAC ID: 3274432802 Enrollment ID: O20040312000516 |
Entity Name | Mineral Area Pain Center Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417973660 PECOS PAC ID: 0244211605 Enrollment ID: O20040601000488 |
Entity Name | Ste Genevieve County Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801817416 PECOS PAC ID: 3274432802 Enrollment ID: O20040617000089 |
Entity Name | Ste Genevieve County Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992875249 PECOS PAC ID: 3274432802 Enrollment ID: O20071010000232 |
Entity Name | Xiaohui's Medical, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518297977 PECOS PAC ID: 2163551714 Enrollment ID: O20100520000459 |
Mailing Address | Practice Location Address |
---|---|
Mrs Lacey Sullivan, FNP-BC 608 Maple Valley Dr, Farmington, MO 63640-1976 Ph: (573) 756-3400 | Mrs Lacey Sullivan, FNP-BC 618 Maple Valley Dr, Farmington, MO 63640 Ph: (573) 756-3400 |
Melinda Dawn Dugal, F.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 515 Maple Valley Dr, Farmington, MO 63640 Phone: 573-760-7920 Fax: 573-756-9597 | |
Mrs. Misty Dawn Cain, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 555 W Pine St, Farmington, MO 63640 Phone: 573-747-1510 Fax: 573-747-1512 | |
Kay Lynn Day, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 507 W Pine St, Farmington, MO 63640 Phone: 573-454-2466 | |
Dirk E Roberts, RNFA, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 606 Maple Valley Dr, Farmington, MO 63640 Phone: 573-756-7779 Fax: 573-756-6914 | |
Gabrielle Marie Plummer, MSN, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 534 Maple Valley Dr, Farmington, MO 63640 Phone: 573-760-8253 | |
Sarah Anne Darnell, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 550 Maple Valley Dr, Farmington, MO 63640 Phone: 573-454-2466 Fax: 573-454-2544 | |
Mrs. Megan Danielle Huhman, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1103 W Liberty St, Farmington, MO 63640 Phone: 573-756-6751 Fax: 573-756-6807 |