Glenn Agape Edillor Montero, MSN, ARN, PMHNP-BC | |
141 Market Pl Ste 100, Fairview Heights, IL 62208-2089 | |
(618) 398-4226 | |
Not Available |
Full Name | Glenn Agape Edillor Montero |
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Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 141 Market Pl Ste 100, Fairview Heights, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1124805189 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 2023062070 (Missouri) | Primary |
Entity Name | Bespoke Psychiatry |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952937104 PECOS PAC ID: 3274951744 Enrollment ID: O20200915002352 |
Mailing Address | Practice Location Address |
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Glenn Agape Edillor Montero, MSN, ARN, PMHNP-BC 27 Oak Knoll Pl, Belleville, IL 62223-1880 Ph: (815) 919-0054 | Glenn Agape Edillor Montero, MSN, ARN, PMHNP-BC 141 Market Pl Ste 100, Fairview Heights, IL 62208-2089 Ph: (618) 398-4226 |
Ms. Brittney Sue Voyda, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments 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 | |
Mary Margaret Madras, APRN,BC Nurse Practitioner Medicare: Accepting Medicare Assignments 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 | |
Danielle Renae Blake, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5020 N Illinois St, Fairview Heights, IL 62208 Phone: 618-222-8900 |