Hannah M Hanebrink, FNP | |
200 Admiral Trost Rd Ste 1a, Columbia, IL 62236-2164 | |
(618) 281-7373 | |
Not Available |
Full Name | Hannah M Hanebrink |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 200 Admiral Trost Rd Ste 1a, Columbia, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689455024 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 209028757 (Illinois) | Secondary |
363LF0000X | Nurse Practitioner - Family | 209028757 (Illinois) | Primary |
Entity Name | Fairview Heights Medical Group Sc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679503668 PECOS PAC ID: 6800784083 Enrollment ID: O20040309000650 |
Mailing Address | Practice Location Address |
---|---|
Hannah M Hanebrink, FNP 660 Mason Ridge Center Dr Ste 300, Saint Louis, MO 63141-8512 Ph: (314) 448-3791 | Hannah M Hanebrink, FNP 200 Admiral Trost Rd Ste 1a, Columbia, IL 62236-2164 Ph: (618) 281-7373 |
Mrs. Suan Marie Rachels, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 220 Wenkel St, Columbia, IL 62236 Phone: 618-444-5455 | |
Malissa Miller, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 107 N Main St Ste 2a, Columbia, IL 62236 Phone: 618-693-9313 | |
Mrs. Tina Louise Valentine, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 421 S Main St, Columbia, IL 62236 Phone: 618-281-7151 | |
Dana M Grosch, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 Admiral Trost Rd Ste 1a, Columbia, IL 62236 Phone: 618-281-7373 Fax: 618-281-6463 | |
Jordan Priebe, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1000 Eleven S, Suite 1a, Columbia, IL 62236 Phone: 618-281-8400 | |
Miss Jennifer Ann Bergmann-krause, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1000 Eleven S Ste 4a, Columbia, IL 62236 Phone: 618-206-6120 Fax: 618-206-6119 |