Jessica Wild, FNP | |
12303 Depaul Drive, Bridgeton, MO 63044 | |
(314) 344-6080 | |
Not Available |
Full Name | Jessica Wild |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 5 Years |
Location | 12303 Depaul Drive, Bridgeton, Missouri |
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 |
---|---|---|---|
1023661709 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 2019023513 (Missouri) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northwest Otolaryngology Inc | 7416015219 | 3 |
Entity Name | Northwest Otolaryngology Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578747408 PECOS PAC ID: 7416015219 Enrollment ID: O20081023000277 |
Entity Name | Regen Ortho Spine & Pain Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730710369 PECOS PAC ID: 2668882499 Enrollment ID: O20201106001776 |
Mailing Address | Practice Location Address |
---|---|
Jessica Wild, FNP 12303 Depaul Dr, Brideton, MO 63044 Ph: () - | Jessica Wild, FNP 12303 Depaul Drive, Bridgeton, MO 63044 Ph: (314) 344-6080 |
Valerie O Walker, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3444 Mckelvey Rd, Bridgeton, MO 63044 Phone: 314-968-0700 | |
Allison Haungs, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 12255 De Paul Dr Ste 600, Bridgeton, MO 63044 Phone: 314-209-5100 | |
Dr. Kent A Campbell, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 12255 De Paul Dr, Suite 200, Bridgeton, MO 63044 Phone: 314-344-7600 Fax: 314-344-7850 | |
Dr. Nicholas A Powers, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 12255 Depaul Dr., Suite 600, Bridgeton, MO 63044 Phone: 314-291-1074 | |
Dr. Katherine R Lichtenberg, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 12255 De Paul Dr, Suite 600, Bridgeton, MO 63044 Phone: 314-291-1074 Fax: 314-291-0802 | |
Andrea Baxter, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 12266 De Paul Dr Ste 310, Bridgeton, MO 63044 Phone: 314-344-6900 Fax: 314-645-0158 |