| Allison F Bax, FNP | |
|
3308 W Edgewood Dr, Suite B, Jefferson Cty, MO 65109-6891 | |
| (573) 893-7848 | |
| (573) 893-1984 |
| Full Name | Allison F Bax |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 15 Years |
| Location | 3308 W Edgewood Dr, Jefferson Cty, 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 |
|---|---|---|---|
| 1811287642 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 2011023149 (Missouri) | Primary |
| 163W00000X | Registered Nurse | 2006022700 (Missouri) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ssm Health St. Mary's Hospital - Jefferson City | Jefferson city, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ssm Regional Health Services | 8921917352 | 165 |
| Entity Name | SSM Regional Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831288869 PECOS PAC ID: 8921917352 Enrollment ID: O20070118000135 |
| Mailing Address | Practice Location Address |
|---|---|
| Allison F Bax, FNP Po Box 1107, Health Branch West, Jefferson City, MO 65102-1107 Ph: (573) 893-7848 | Allison F Bax, FNP 3308 W Edgewood Dr, Suite B, Jefferson Cty, MO 65109-6891 Ph: (573) 893-7848 |
Marki Burnett, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 305 Binder Dr, Jefferson Cty, MO 65109 Phone: 573-291-1394 Fax: 573-291-1394 |
Precious Ezeji, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2505 Mission Dr, Jefferson Cty, MO 65109 Phone: 573-681-3585 |