| Erica P Criss, APN | |
|
5 Lugwig Drive, Fairview Heights, IL 62208 | |
| (618) 397-9000 | |
| (618) 397-9003 |
| Full Name | Erica P Criss |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 18 Years |
| Location | 5 Lugwig Drive, Fairview Heights, Illinois |
| 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 |
|---|---|---|---|
| 1780834747 | NPI | - | NPPES |
| 1780834747 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 2010036627 (Missouri) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 209007255 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ivy Medical Group Pllc | 4981097797 | 96 |
| Southerncare, Inc. | 8527977735 | 10 |
| Entity Name | Southerncare, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790566206 PECOS PAC ID: 8527977735 Enrollment ID: O20231201002199 |
| Entity Name | Ivy Medical Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700558798 PECOS PAC ID: 4981097797 Enrollment ID: O20250325003950 |
| Mailing Address | Practice Location Address |
|---|---|
| Erica P Criss, APN 6121 N Hanley Rd, Berkeley, MO 63134-2003 Ph: (314) 615-0600 | Erica P Criss, APN 5 Lugwig Drive, Fairview Heights, IL 62208 Ph: (618) 397-9000 |
Ms. Brittney Sue Voyda, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5031 N Illinois St Ste A, Fairview Heights, IL 62208 Phone: 618-619-2920 Fax: 888-906-2120 | |
Mrs. Jennifer Glispie, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 605 Wild Horse Creek Dr, Fairview Heights, IL 62208 Phone: 618-240-0595 | |
Ebele N Iloabachie, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 141 Market Pl Ste 100, Fairview Heights, IL 62208 Phone: 618-398-4226 Fax: 618-398-1759 | |
Glenn Agape Edillor Montero, MSN, ARN, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 141 Market Pl Ste 100, Fairview Heights, IL 62208 Phone: 618-398-4226 | |
Mary Margaret Madras, APRN,BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6505 N Illinois St, Fairview Heights, IL 62208 Phone: 314-687-2734 | |
Ms. Laura Christine O'leary, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6505 N Illinois St, Fairview Heights, IL 62208 Phone: 314-687-2734 | |
Ali Albers, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5036 N Illinois St, Fairview Heights, IL 62208 Phone: 618-671-6800 Fax: 618-671-6604 |