| Ms Amanda D Allen, AGNP | |
|
1418 Cross St, Div Im Medical Oncology, Ste 180, Shiloh, IL 62269-2914 | |
| (800) 647-2098 | |
| (314) 362-3192 |
| Full Name | Ms Amanda D Allen |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 1418 Cross St, Shiloh, Illinois |
| 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 |
|---|---|---|---|
| 1346999315 | NPI | - | NPPES |
| 420108279 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LG0600X | Nurse Practitioner - Gerontology | 209026073 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Christian Hospital Northeast | Saint louis, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Washington University | 9830008770 | 2782 |
| Washington University Physicians In Illinois, Inc | 4789945163 | 117 |
| Entity Name | Washington University |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992746903 PECOS PAC ID: 9830008770 Enrollment ID: O20031119000372 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Amanda D Allen, AGNP Po Box 7412011, Chicago, IL 60674-2011 Ph: (800) 647-2098 | Ms Amanda D Allen, AGNP 1418 Cross St, Div Im Medical Oncology, Ste 180, Shiloh, IL 62269-2914 Ph: (800) 647-2098 |
Danielle Lynn Frueh, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1170 Fortune Blvd, Shiloh, IL 62269 Phone: 618-997-5266 | |
Gaylin Manion, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1167 Fortune Blvd, Shiloh, IL 62269 Phone: 618-207-6900 Fax: 618-207-6901 | |
Megan Elizabeth Lesko, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1179 Fortune Blvd, Shiloh, IL 62269 Phone: 309-368-8984 | |
Christina Marie Weibley, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1170 Fortune Blvd, Shiloh, IL 62269 Phone: 618-997-5266 Fax: 833-431-2272 | |
Lindsey Nicole Erickson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1414 Cross St Ste 230, Shiloh, IL 62269 Phone: 618-607-1260 | |
Ms. Kayce Justine Bourgette, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1418 Cross St, Div Im Medical Oncology, Ste 180, Shiloh, IL 62269 Phone: 800-647-2098 Fax: 618-622-9724 | |
Kristy Wienstroer, WHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1191 Fortune Blvd, Shiloh, IL 62269 Phone: 618-206-6101 |