| Jason Edward Portell, FNP-C | |
|
7245 Raider Rd Ste C, Bonne Terre, MO 63628-3767 | |
| (573) 358-4600 | |
| (573) 358-4654 |
| Full Name | Jason Edward Portell |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 7245 Raider Rd Ste C, Bonne Terre, Missouri |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457896664 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 2016044204 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Hospital South | Saint louis, MO | Hospital |
| Deaconess Medical Center | Spokane, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Clinic East Communities | 7214827922 | 535 |
| Entity Name | Physician Groups Lc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285664268 PECOS PAC ID: 3072421254 Enrollment ID: O20040220001157 |
| Entity Name | Missouri Baptist Hospital Of Sullivan |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295743169 PECOS PAC ID: 2668380148 Enrollment ID: O20060410000616 |
| Entity Name | Mercy Clinic East Communities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851335228 PECOS PAC ID: 7214827922 Enrollment ID: O20070521000006 |
| Entity Name | Mercy East Ambulatory Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134673148 PECOS PAC ID: 2365739240 Enrollment ID: O20160920002054 |
| Mailing Address | Practice Location Address |
|---|---|
| Jason Edward Portell, FNP-C 7245 Raider Rd Ste C, Bonne Terre, MO 63628-3767 Ph: (573) 358-4600 | Jason Edward Portell, FNP-C 7245 Raider Rd Ste C, Bonne Terre, MO 63628-3767 Ph: (573) 358-4600 |
Ms. Mary Suzanne Jones, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2727 Highway K, Bonne Terre, MO 63628 Phone: 573-358-5516 | |
Rachel Ann Francis, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 55 Nesbit Dr, Bonne Terre, MO 63628 Phone: 573-358-1700 Fax: 573-358-1702 | |
Mrs. Ann Mirette Kirby, PMHNP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 11 S Division St Ste A, Bonne Terre, MO 63628 Phone: 573-723-1100 Fax: 573-723-1130 | |
Mrs. Lacey Sullivan, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7245 Raider Rd Ste C, Bonne Terre, MO 63628 Phone: 573-358-4600 Fax: 573-358-4654 | |
Glenda Charlene Counts, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11 S Division St Ste A, Bonne Terre, MO 63628 Phone: 573-723-1100 Fax: 573-723-1130 | |
Mrs. Ronay Rodgers, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 527 Benham St, Bonne Terre, MO 63628 Phone: 573-358-9119 Fax: 573-358-9489 | |
Melody Kay Willis, MSN, RN, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1857 Rue Lamande, Bonne Terre, MO 63628 Phone: 573-300-2690 |