| Holly Ackermann, FNP | |
|
120 Boyd St, De Soto, MO 63020-1702 | |
| (636) 282-0380 | |
| Not Available |
| Full Name | Holly Ackermann |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 120 Boyd St, De Soto, 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 |
|---|---|---|---|
| 1003303389 | NPI | - | NPPES |
| 2018010406 | Other | MO | MO STATE LICENSE |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Hospital Jefferson | Festus, MO | Hospital |
| Brooking Park | Chesterfield, MO | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Midwest Medical Practitioners Llc | 8729398425 | 6 |
| Entity Name | Midwest Medical Practitioners Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255709143 PECOS PAC ID: 8729398425 Enrollment ID: O20151110000108 |
| Entity Name | West County Rheumatology Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356830830 PECOS PAC ID: 7719232933 Enrollment ID: O20180612001299 |
| Mailing Address | Practice Location Address |
|---|---|
| Holly Ackermann, FNP 5000 Cedar Plaza Pkwy Ste 300, Saint Louis, MO 63128-3891 Ph: (636) 282-0380 | Holly Ackermann, FNP 120 Boyd St, De Soto, MO 63020-1702 Ph: (636) 282-0380 |
Megan Brooke Reando, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12 Jefferson Sq, De Soto, MO 63020 Phone: 636-586-6685 Fax: 636-586-2780 | |
Mrs. Hattie Debord, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12 Jefferson Sq, De Soto, MO 63020 Phone: 636-586-6685 | |
Sarah G Pageler, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12 Jefferson Sq, De Soto, MO 63020 Phone: 636-586-6685 Fax: 636-586-2780 |