Ranita R Keller, FNP | |
2122 Troy Rd Ste 130, Edwardsville, IL 62025-2540 | |
(618) 800-4500 | |
Not Available |
Full Name | Ranita R Keller |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 9 Years |
Location | 2122 Troy Rd Ste 130, Edwardsville, Illinois |
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 |
---|---|---|---|
1083096895 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 277000539 (Illinois) | Primary |
363L00000X | Nurse Practitioner | 2015032216 (Missouri) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Fairview Heights Medical Group Sc | 6800784083 | 346 |
Entity Name | Fairview Heights Medical Group Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679503668 PECOS PAC ID: 6800784083 Enrollment ID: O20040309000650 |
Mailing Address | Practice Location Address |
---|---|
Ranita R Keller, FNP 2122 Troy Rd Ste 130, Edwardsville, IL 62025-2540 Ph: (618) 800-4500 | Ranita R Keller, FNP 2122 Troy Rd Ste 130, Edwardsville, IL 62025-2540 Ph: (618) 800-4500 |
Jason Smith, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 413 Sanner St, Edwardsville, IL 62025 Phone: 618-203-3733 | |
Gerthy Cipus Pierre, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1706 Cloverdale Dr, Edwardsville, IL 62025 Phone: 618-482-6959 | |
Amanda Brittany Weiss, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1329 Gerber Woods Dr, Edwardsville, IL 62025 Phone: 618-616-1234 | |
Dr. Jane Marie Brown, DNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6 Hairpin Dr, Edwardsville, IL 62026 Phone: 618-650-3956 | |
Mrs. Emily A Yakel, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3417 Anderson Healthcare Dr Ste 200, Edwardsville, IL 62025 Phone: 618-288-8500 Fax: 618-288-8501 | |
Bradley Alen Sands, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1188 South State Route 157, Edwardsville, IL 62025 Phone: 618-220-1234 |