| Heidi Kathleen Jacobs, FNP | |
|
11 Delegate Cir, O Fallon, MO 63368-8500 | |
| (314) 518-2101 | |
| Not Available |
| Full Name | Heidi Kathleen Jacobs |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 2 Years |
| Location | 11 Delegate Cir, O Fallon, Missouri |
| 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 |
|---|---|---|---|
| 1194596627 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 2024001282 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Lukes Hospital | Chesterfield, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tri-county Family Practice, Llc | 5294769238 | 9 |
| Emergency Physicians Of St Lukes Llc | 3779714142 | 63 |
| Entity Name | Tri-county Family Practice, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285720169 PECOS PAC ID: 5294769238 Enrollment ID: O20050920000721 |
| Entity Name | Emergency Physicians of St Lukes LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215359815 PECOS PAC ID: 3779714142 Enrollment ID: O20140327001965 |
| Mailing Address | Practice Location Address |
|---|---|
| Heidi Kathleen Jacobs, FNP 11 Delegate Cir, O Fallon, MO 63368-8500 Ph: Not Available | Heidi Kathleen Jacobs, FNP 11 Delegate Cir, O Fallon, MO 63368-8500 Ph: (314) 518-2101 |
Mrs. Shannon M Wood, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9209 Phoenix Village Pkwy, O Fallon, MO 63368 Phone: 636-561-4613 Fax: 636-561-4610 |
Vonda G Gibson, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Po Box 1695, O Fallon, MO 63366 Phone: 636-385-3347 |
Courtney Paige Jones, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 300 Winding Woods Dr, O Fallon, MO 63366 Phone: 636-614-3280 |
Leah W Wangui, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 225 Mystic Cv, O Fallon, MO 63368 Phone: 314-583-4665 |
Kelli Elizabeth Buntaine, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2991 Highway K, O Fallon, MO 63368 Phone: 636-435-2333 Fax: 314-626-8009 |
Mrs. Dawn Marie Johns, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 920 N Main St, O Fallon, MO 63366 Phone: 314-687-2731 |
Brooke Lauren Meyer, RN, MSN, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 300 Winding Woods Dr Ste 101, O Fallon, MO 63366 Phone: 636-978-7902 |