| Paige Nicole Ponticello, MSN, FNP-C | |
|
621 S New Ballas Rd Ste 560a, Saint Louis, MO 63141-8261 | |
| (314) 251-6440 | |
| Not Available |
| Full Name | Paige Nicole Ponticello |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 621 S New Ballas Rd Ste 560a, Saint 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 |
|---|---|---|---|
| 1033840228 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 2022022670 (Missouri) | Primary |
| Entity Name | Mercy Clinic Burn And Plastic Surgery Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912037433 PECOS PAC ID: 4688622822 Enrollment ID: O20050105000105 |
| Entity Name | Mercy Clinic Trauma And General Surgery Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699825695 PECOS PAC ID: 1658320700 Enrollment ID: O20050117000142 |
| Mailing Address | Practice Location Address |
|---|---|
| Paige Nicole Ponticello, MSN, FNP-C 22819 Paul Rd, Marthasville, MO 63357-2550 Ph: (314) 809-4123 | Paige Nicole Ponticello, MSN, FNP-C 621 S New Ballas Rd Ste 560a, Saint Louis, MO 63141-8261 Ph: (314) 251-6440 |
Stephanie Lynn Shorey, WHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 621 S New Ballas Rd, Suite 2007b, Saint Louis, MO 63141 Phone: 314-991-5000 | |
Mr. Gary John Gardner, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4251 Forest Park Ave, Saint Louis, MO 63108 Phone: 618-363-9545 | |
Ms. Kim M French, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4921 Parkview Pl, Div Im Hematology, Ste 7b, Saint Louis, MO 63110 Phone: 314-362-7216 Fax: 314-362-8813 | |
Barbara Ann Giese, RN, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 456 N New Ballas Rd, Suite 304, Saint Louis, MO 63141 Phone: 314-567-6868 Fax: 314-567-0578 | |
Mrs. Anna Ouida Barton, WHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9450 Manchester Rd Ste 206, Saint Louis, MO 63119 Phone: 314-725-9300 | |
Mrs. Emily Carol Kemp, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Parkview Pl, Div Im Medical Oncology, Saint Louis, MO 63110 Phone: 800-647-2098 Fax: 314-362-3192 | |
Mrs. Michelle Marie Bloom, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Barnes Jewish Hospital Plz, Dept Anesthesiology, Saint Louis, MO 63110 Phone: 800-862-9980 Fax: 314-362-1185 |