| Candice Crow, | |
|
1400 Us Highway 61 Ste G50, Festus, MO 63028-4142 | |
| (314) 366-4874 | |
| (314) 366-4875 |
| Full Name | Candice Crow |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 1400 Us Highway 61 Ste G50, 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 |
|---|---|---|---|
| 1902278773 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | 2015037183 (Missouri) | Primary |
| 363LG0600X | Nurse Practitioner - Gerontology | 2015037183 (Missouri) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saint Francis Medical Center | Cape girardeau, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Immediate Convenient Care Llc | 0648313486 | 21 |
| Saint Francis Medical Center | 9931007929 | 408 |
| Entity Name | Saint Francis Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356304489 PECOS PAC ID: 9931007929 Enrollment ID: O20040107000140 |
| Mailing Address | Practice Location Address |
|---|---|
| Candice Crow, Po Box 801143, Kansas City, MO 64180-1143 Ph: (573) 331-5583 | Candice Crow, 1400 Us Highway 61 Ste G50, Festus, MO 63028-4142 Ph: (314) 366-4874 |
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 |