| Dr Jacob Daniel Wengert, DC, FNP | |
|
9515 Holy Cross Ln Ste 175, Breese, IL 62230-3618 | |
| (618) 526-8430 | |
| Not Available |
| Full Name | Dr Jacob Daniel Wengert |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 9515 Holy Cross Ln Ste 175, Breese, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689097768 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 209023063 (Illinois) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 209023063 (Illinois) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Josephs Hospital | Breese, IL | Hospital |
| Hshs St Elizabeth's Hospital | O fallon, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hshs Medical Group Inc | 5092857821 | 181 |
| Entity Name | Hshs Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962644807 PECOS PAC ID: 5092857821 Enrollment ID: O20100116000275 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jacob Daniel Wengert, DC, FNP 9515 Holy Cross Ln Ste 175, Breese, IL 62230-3618 Ph: () - | Dr Jacob Daniel Wengert, DC, FNP 9515 Holy Cross Ln Ste 175, Breese, IL 62230-3618 Ph: (618) 526-8430 |
Emily Rhoades, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9401 Holy Cross Ln Ste 112, Breese, IL 62230 Phone: 618-526-7271 Fax: 618-526-7313 | |
Kelsey L Mueller, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9401 Holy Cross Ln Ste 112, Breese, IL 62230 Phone: 618-526-7271 | |
Ms. Alexis Ann Mcallister, PNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9401 Holy Cross Ln Ste 112, Breese, IL 62230 Phone: 618-526-7271 Fax: 618-526-7313 | |
Clare R Arentsen, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9401 Holy Cross Ln Ste 112, Breese, IL 62230 Phone: 618-526-7271 | |
Angela Dawn Herndon, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 397 North Plum Street, Breese, IL 62230 Phone: 618-526-4700 Fax: 618-566-7121 | |
Mrs. Kara Ann Huegen, AGNP-C, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9401 Holy Cross Ln Ste 112, Breese, IL 62230 Phone: 618-206-2082 | |
Meghan M Ziegler, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9401 Holy Cross Ln Ste 112, Breese, IL 62230 Phone: 618-526-7271 |