Tiffany Hosp, NP | |
739 N Jefferson St Ste 200, Mascoutah, IL 62258-1447 | |
(618) 566-8810 | |
(618) 566-7121 |
Full Name | Tiffany Hosp |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 739 N Jefferson St Ste 200, Mascoutah, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356037592 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 209027100 (Illinois) | Primary |
Entity Name | Granite City Urgent Care Walk-in Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659861953 PECOS PAC ID: 1951658285 Enrollment ID: O20180718001473 |
Entity Name | Belleville Urgent Care Walk-in Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225694946 PECOS PAC ID: 4183050362 Enrollment ID: O20200213000608 |
Entity Name | Waterloo Urgent Care Walk In Clinic Company |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508471418 PECOS PAC ID: 3971911009 Enrollment ID: O20210409000649 |
Entity Name | Alton Urgent Care Walk In Clinic Company |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013521343 PECOS PAC ID: 2961810890 Enrollment ID: O20210414001646 |
Entity Name | Wood River Urgent Care And Walk In Clinic Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427717438 PECOS PAC ID: 3173917788 Enrollment ID: O20220224002310 |
Mailing Address | Practice Location Address |
---|---|
Tiffany Hosp, NP 739 N Jefferson St Ste 200, Mascoutah, IL 62258-1447 Ph: (618) 566-8810 | Tiffany Hosp, NP 739 N Jefferson St Ste 200, Mascoutah, IL 62258-1447 Ph: (618) 566-8810 |
Kristin Nicole Wilmes, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 800 Tanzanite Ln, Mascoutah, IL 62258 Phone: 618-567-0336 | |
Kelly M Whitaker, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 124 W Main St, Mascoutah, IL 62258 Phone: 186-402-5572 Fax: 636-333-4510 | |
Kayla Moll, MSN FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 739 N Jefferson St # 200, Mascoutah, IL 62258 Phone: 618-566-8810 | |
Jennifer Lynn Earl, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 901 N 10th St, Mascoutah, IL 62258 Phone: 618-566-2183 |