Mrs Mary Ellen Kantz, RN, BSN, CNOR, CRNFA is a
Registered Nurse - Registered Nurse First Assistant based in St. Peters, Missouri. Mrs Mary Ellen Kantz is licensed to practice in Missouri (license number 044729) and her current practice location is
145 St. Peters Centre Blvd, Renaissance Plastic Surgery, St. Peters, Missouri. She can be reached at her office (for appointments etc.) via phone at
(636) 896-0600.
NPI number for Mrs Mary Ellen Kantz is 1164739710 and her current mailing address is 2909 W Adams, St. Charles, Missouri. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1164739710.
Provider's Profile
Full Name | Mrs Mary Ellen Kantz |
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Gender | Female |
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Speciality | Registered Nurse - Registered Nurse First Assistant |
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Location | 145 St. Peters Centre Blvd, St. Peters, Missouri |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1164739710
- Provider Enumeration Date: 09/02/2010
- Last Update Date: 12/06/2011
Medical Identifiers
Medical identifiers for Mrs Mary Ellen Kantz such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1164739710 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WR0006X | Registered Nurse - Registered Nurse First Assistant | 044729 (Missouri) | Primary |
163W00000X | Registered Nurse | 044729 (Missouri) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Mary Ellen Kantz is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Mary Ellen Kantz, RN, BSN, CNOR, CRNFA 2909 W Adams, St. Charles, MO 63301-4603 Ph: (636) 724-0031 | Mrs Mary Ellen Kantz, RN, BSN, CNOR, CRNFA 145 St. Peters Centre Blvd, Renaissance Plastic Surgery, St. Peters, MO 63376 Ph: (636) 896-0600 |
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