| Brandy Maxine Baxley, APRN | |
|
2200 Central Ave, Alton, IL 62002 | |
| (618) 433-7600 | |
| (618) 433-7641 |
| Full Name | Brandy Maxine Baxley |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 2200 Central Ave, Alton, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881421675 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 209030503 (Illinois) | Primary |
| Entity Name | Osf Multi-specialty Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
| Mailing Address | Practice Location Address |
|---|---|
| Brandy Maxine Baxley, APRN 2200 Central Ave, Alton, IL 62002 Ph: (618) 433-7600 | Brandy Maxine Baxley, APRN 2200 Central Ave, Alton, IL 62002 Ph: (618) 433-7600 |
Mrs. Misty D Biciocchi, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4 Memorial Dr, Ste 134, Alton, IL 62002 Phone: 618-607-1340 Fax: 618-622-9724 | |
Lee A Tardino, MSN ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4 Memorial Dr Ste 210, Alton, IL 62002 Phone: 618-463-5905 Fax: 618-463-5935 | |
Jodi R Lutz, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1650 Washington Ave, Alton, IL 62002 Phone: 314-687-2735 | |
Shereece Nichole Wallace, DNP, AGPCNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Memorial Dr, Alton, IL 62002 Phone: 618-463-7240 | |
Laura L Brandenburg, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4 Memorial Dr, Ste 230b, Alton, IL 62002 Phone: 618-463-7777 Fax: 618-463-7767 | |
Kelsey M Beard, FNP-BC, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4 Memorial Dr Ste 210, Alton, IL 62002 Phone: 618-463-5905 Fax: 618-463-5035 | |
Leah Knabe, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Saint Anthonys Way, Alton, IL 62002 Phone: 618-463-0248 |