Ms Julie Kathryn Miller, FNP | |
100 Medical Plz, Lake St Louis, MO 63367-1366 | |
(314) 317-0600 | |
(314) 317-0606 |
Full Name | Ms Julie Kathryn Miller |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 100 Medical Plz, Lake St Louis, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326323767 | NPI | - | NPPES |
1326323767 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 2011034264 (Missouri) | Primary |
Entity Name | Physician Specialists Of St Lukes Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235168410 PECOS PAC ID: 1557366960 Enrollment ID: O20060918000462 |
Entity Name | Southeastern Physician Services Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083835441 PECOS PAC ID: 0042307852 Enrollment ID: O20160809000235 |
Entity Name | Ipc Pac Healthcare Services Of Missouri Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326497587 PECOS PAC ID: 4587950589 Enrollment ID: O20160830002898 |
Mailing Address | Practice Location Address |
---|---|
Ms Julie Kathryn Miller, FNP 12101 Woodcrest Executive Dr, Suite 210, Saint Louis, MO 63141-5047 Ph: (314) 317-0600 | Ms Julie Kathryn Miller, FNP 100 Medical Plz, Lake St Louis, MO 63367-1366 Ph: (314) 317-0600 |
Victoria Lynn Hines, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Medical Plz, Lake St Louis, MO 63367 Phone: 636-625-5200 Fax: 636-625-5314 | |
Akiko Okabe, AGACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Medical Plz, Lake St Louis, MO 63367 Phone: 314-317-0600 Fax: 314-317-0606 | |
Molly Lombardo, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 Medical Plz Ste 221, Lake St Louis, MO 63367 Phone: 636-625-6041 | |
Katie D Schmidt, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 Medical Plz Ste 150, Lake St Louis, MO 63367 Phone: 636-625-2662 | |
Yunhee Choi Cruse, CNP, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 Medical Plz, Lake St Louis, MO 63367 Phone: 636-625-5200 | |
Michelle Louise Wallweber, MSN, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 21 Meadows Circle Dr Ste 324, Lake St Louis, MO 63367 Phone: 636-389-2488 | |
Katherine Elizabeth Benenati, AGACNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 300 Medical Plz Ste 150, Lake St Louis, MO 63367 Phone: 636-625-2662 Fax: 636-625-1644 |