Ms Gayla Ann Dace, RN, BC, FNP | |
624 Old Saint Marys Rd, Suite A, Perryville, MO 63775-1837 | |
(573) 547-3232 | |
(573) 547-3231 |
Full Name | Ms Gayla Ann Dace |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 624 Old Saint Marys Rd, Perryville, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427195122 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 138103 (Missouri) | Primary |
Entity Name | Southeast Missouri Hospital Physicians Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558311522 PECOS PAC ID: 9133024334 Enrollment ID: O20031201000775 |
Mailing Address | Practice Location Address |
---|---|
Ms Gayla Ann Dace, RN, BC, FNP 624 Old Saint Marys Rd, Suite A, Perryville, MO 63775-1837 Ph: (573) 547-3232 | Ms Gayla Ann Dace, RN, BC, FNP 624 Old Saint Marys Rd, Suite A, Perryville, MO 63775-1837 Ph: (573) 547-3232 |
Bayley Nicole Little, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1508 Edgemont Blvd, Perryville, MO 63775 Phone: 573-768-3220 | |
Mr. Gavin Lee Flentge, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8 N French Ln, Perryville, MO 63775 Phone: 573-768-6986 Fax: 949-655-8621 | |
Megan Rose Buehler, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 212 Hospital Ln Ste 101, Perryville, MO 63775 Phone: 573-547-8390 | |
Brooke Elizabeth Hotop, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 212 Hospital Ln Ste 101, Perryville, MO 63775 Phone: 573-547-7888 | |
Amanda Rose Moore, APRN FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 212 Hospital Ln Ste 101, Perryville, MO 63775 Phone: 573-547-7888 | |
Michael J Moldenhauer, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 624 Old Saint Marys Rd, Suite A, Perryville, MO 63775 Phone: 573-547-3232 Fax: 573-547-3231 | |
Erin Meixner, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8 N French Ln, Perryville, MO 63775 Phone: 573-768-6986 |