Mrs Stephany Renee Luchtefeld, NP | |
159 E Mcarthur Dr, Bethalto, IL 62010 | |
(618) 258-7504 | |
Not Available |
Full Name | Mrs Stephany Renee Luchtefeld |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 159 E Mcarthur Dr, Bethalto, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124515580 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 2017039611 (Missouri) | Primary |
Entity Name | Uptown Emergency Physicians Llp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811135882 PECOS PAC ID: 8921096850 Enrollment ID: O20040430001269 |
Mailing Address | Practice Location Address |
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Mrs Stephany Renee Luchtefeld, NP 200 Corporate Blvd, Lafayette, LA 70508-3870 Ph: (800) 893-9698 | Mrs Stephany Renee Luchtefeld, NP 159 E Mcarthur Dr, Bethalto, IL 62010 Ph: (618) 258-7504 |
Kaylee Anne Bowen, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 163 E Bethalto Dr, Bethalto, IL 62010 Phone: 618-433-6640 | |
Mrs. Monica Marie Magowan, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 163 E Bethalto Dr, Bethalto, IL 62010 Phone: 618-433-6640 Fax: 618-433-6645 | |
Karra Nance Adams, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 163 E Bethalto Dr, Bethalto, IL 62010 Phone: 618-433-6640 | |
Amanda Willane Michaels, ADNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 163 E Bethalto Dr, Bethalto, IL 62010 Phone: 618-433-6490 | |
Jenny M Daniels, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 163 E Bethalto Dr, Bethalto, IL 62010 Phone: 618-433-6640 Fax: 618-433-6645 | |
Elizabeth Elaine Bernat, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 163 E Bethalto Dr, Bethalto, IL 62010 Phone: 618-433-6640 Fax: 618-433-6645 |