Mrs Lara Ann Penn, FNP | |
920 N Main St, O Fallon, MO 63366-1746 | |
(314) 687-2731 | |
Not Available |
Full Name | Mrs Lara Ann Penn |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 12 Years |
Location | 920 N Main St, O Fallon, 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 |
---|---|---|---|
1538406954 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 2012041693 (Missouri) | Secondary |
363L00000X | Nurse Practitioner | 2012041693 (Missouri) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ssm Medical Group Inc | 6608776299 | 496 |
Dean Health Systems Inc | 7012827983 | 1054 |
Entity Name | Ssm Health Care St Louis |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275586174 PECOS PAC ID: 7810800737 Enrollment ID: O20031118000393 |
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 Lara Ann Penn, FNP Po Box 955534, Saint Louis, MO 63195-5534 Ph: () - | Mrs Lara Ann Penn, FNP 920 N Main St, O Fallon, MO 63366-1746 Ph: (314) 687-2731 |
Mrs. Shannon M Wood, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9209 Phoenix Village Pkwy, O Fallon, MO 63368 Phone: 636-561-4613 Fax: 636-561-4610 | |
Leah W Wangui, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 225 Mystic Cv, O Fallon, MO 63368 Phone: 314-583-4665 | |
Mrs. Dawn Marie Johns, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 920 N Main St, O Fallon, MO 63366 Phone: 314-687-2731 | |
Brooke Lauren Meyer, RN, MSN, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 300 Winding Woods Dr Ste 101, O Fallon, MO 63366 Phone: 636-978-7902 | |
Mrs. Christina Marie Ivy, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2765 Red Cedar Parc Dr S, O Fallon, MO 63368 Phone: 636-248-8072 | |
Elizabeth Vollmar, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1101 Highway K, O Fallon, MO 63366 Phone: 636-379-6363 | |
Gloria Michelle Paul Edacheril, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 20 Progress Point Pkwy Ste 108, O Fallon, MO 63368 Phone: 636-344-2400 Fax: 636-344-2401 |