| Dr Megan Lutman, FNP | |
|
921 Kimberly Ln, Waterloo, IL 62298-1864 | |
| (314) 456-6008 | |
| Not Available |
| Full Name | Dr Megan Lutman |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 921 Kimberly Ln, Waterloo, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548000318 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 2024016760 (Missouri) | Primary |
| Entity Name | Midwest Inpatient Anderson Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821758608 PECOS PAC ID: 3072908474 Enrollment ID: O20220322002045 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Megan Lutman, FNP 921 Kimberly Ln, Waterloo, IL 62298-1864 Ph: (314) 456-6008 | Dr Megan Lutman, FNP 921 Kimberly Ln, Waterloo, IL 62298-1864 Ph: (314) 456-6008 |
Mr. Matthew Robert Jones, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 509 Hamacher St Ste 202, Waterloo, IL 62298 Phone: 618-939-4200 Fax: 618-939-4256 | |
Courtney Mccarty, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 224 Bradford Ln, Waterloo, IL 62298 Phone: 618-939-0112 Fax: 618-939-0119 | |
Ms. Carol Ann Glascock, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 723 Station Xing, Waterloo, IL 62298 Phone: 618-939-1551 Fax: 618-939-1553 | |
Megan Roberts, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 224 Bradford Ln, Waterloo, IL 62298 Phone: 618-939-0112 | |
Shanna Witges, APRN NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 509 Hamacher St Ste 102, Waterloo, IL 62298 Phone: 618-939-3939 | |
Marla Rae Smith, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 869 North Illinois Rt 3, Waterloo, IL 62298 Phone: 618-939-7771 Fax: 618-939-7746 |