| Trinity Health And Wellness, Llc. | |
|
850 Bryant St Louisville IL 62858-1000 | |
| (314) 757-0140 | |
| Not Available |
| Full Name | Trinity Health And Wellness, Llc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 850 Bryant St, Louisville, Illinois |
| Authorized Official Name and Position | Carrie Nussmeyer (OWNER) |
| Authorized Official Contact | 6186657000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Trinity Health And Wellness, Llc. 850 Bryant St Louisville IL 62858-1000 Ph: (618) 665-7000 | Trinity Health And Wellness, Llc. 850 Bryant St Louisville IL 62858-1000 Ph: (314) 757-0140 |
| NPI Number | 1356857981 |
|---|---|
| Provider Enumeration Date | 12/19/2017 |
| Last Update Date | 01/24/2019 |
| Medicare PECOS PAC ID | 9537420724 |
|---|---|
| Medicare Enrollment ID | O20180305000806 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356857981 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
| Provider Name | Angela Casolari |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316338890 PECOS PAC ID: 5294045639 Enrollment ID: I20151113001922 |
| Provider Name | Carrie Nussmeyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477914737 PECOS PAC ID: 8628367323 Enrollment ID: I20160519001595 |
| Provider Name | Valerie Lybarger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962892976 PECOS PAC ID: 3072802776 Enrollment ID: I20160519001636 |
| Provider Name | Amanda Fuson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821746678 PECOS PAC ID: 9133515257 Enrollment ID: I20220329002391 |
Trinity Health And Wellness, Llc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 850 Bryant St, Louisville, IL 62858 Phone: 618-665-7000 | |
Family Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 134 S. Church St., Louisville, IL 62858 Phone: 618-665-4612 Fax: 618-665-4610 | |
Louisville Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 935 Bryant St, Louisville, IL 62858 Phone: 618-662-2191 Fax: 618-662-1482 |