| Candace-rae Diana Davis, DNP, RN, CPNP-PC | |
|
1400 Us Highway 61, Festus, MO 63028-4100 | |
| (314) 251-6299 | |
| Not Available |
| Full Name | Candace-rae Diana Davis |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 1400 Us Highway 61, Festus, 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 |
|---|---|---|---|
| 1588213532 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0222X | Nurse Practitioner - Pediatrics, Critical Care | 2013035101 (Missouri) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ssm Cardinal Glennon Children's Hospital | 7012828163 | 35 |
| Entity Name | SSM Cardinal Glennon Children's Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174577670 PECOS PAC ID: 7012828163 Enrollment ID: O20031231000604 |
| Mailing Address | Practice Location Address |
|---|---|
| Candace-rae Diana Davis, DNP, RN, CPNP-PC 1400 Us Highway 61, Festus, MO 63028-4100 Ph: (314) 251-6299 | Candace-rae Diana Davis, DNP, RN, CPNP-PC 1400 Us Highway 61, Festus, MO 63028-4100 Ph: (314) 251-6299 |
Blair A Theis, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 35 Goodwin Dr, Festus, MO 63028 Phone: 636-933-4141 Fax: 636-931-7007 |
Zachary Vaugh, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1078 Eagle Valley Dr, Festus, MO 63028 Phone: 314-488-3464 |
Louise Jadwisiak, RN,CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 35 Goodwin Dr, Festus, MO 63028 Phone: 636-933-4141 Fax: 636-931-7007 |
Tamra Lynn Crouch, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1400 Us Highway 61, Festus, MO 63028 Phone: 636-933-5337 |
Ms. Michele J Soest, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 627 Westwood Dr S, Festus, MO 63028 Phone: 636-931-9066 |
Jennifer Teresa French, A-GNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1400 Us Highway 61 Ste 240a, Festus, MO 63028 Phone: 636-937-3337 Fax: 636-931-7671 |
Susan Elizabeth Moser, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1400 Us Highway 61, Suite G20, Festus, MO 63028 Phone: 636-933-8091 Fax: 636-933-8090 |