| Jennifer Thery, | |
|
6805 State Route 162 Ste 201, Maryville, IL 62062-8530 | |
| (618) 288-5019 | |
| (618) 288-5059 |
| Full Name | Jennifer Thery |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 13 Years |
| Location | 6805 State Route 162 Ste 201, Maryville, Illinois |
| 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 |
|---|---|---|---|
| 1730509159 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 209011491 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Jersey Community Hospital | Jerseyville, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Jersey Community Hospital | 4587650445 | 62 |
| Southern Illinois Associates Llc | 2961489992 | 16 |
| Entity Name | Jersey Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780609925 PECOS PAC ID: 4587650445 Enrollment ID: O20040424000140 |
| Entity Name | Southern Illinois Associates LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962427856 PECOS PAC ID: 2961489992 Enrollment ID: O20040707000602 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Thery, 6805 State Route 162 Ste 201, Maryville, IL 62062-8530 Ph: (618) 288-5019 | Jennifer Thery, 6805 State Route 162 Ste 201, Maryville, IL 62062-8530 Ph: (618) 288-5019 |
Mrs. Katherine Anne Burnley, ANP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2133 Vadalabene Dr, Suite 5b, Maryville, IL 62062 Phone: 618-288-7605 Fax: 618-288-7644 |
Alyssa Ruwe Martz, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6812 State Route 162, Suite 123, Maryville, IL 62062 Phone: 618-288-9460 Fax: 618-288-9461 |
Jennifer D Wesselman-williams, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2236 Vadalabene Dr, Maryville, IL 62062 Phone: 618-726-2229 Fax: 618-726-2225 |
Jessica Lynn Sheffer, MSN, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6812 State Route 162 Ste 200, Maryville, IL 62062 Phone: 618-288-0900 |
Danielle Nicole Fries, AGNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6812 State Route 162 Ste 200, Maryville, IL 62062 Phone: 618-288-0900 Fax: 618-288-0909 |
Deanna Moorman, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2023 Vadalabene Dr, Suite 200, Maryville, IL 62062 Phone: 618-288-7408 |
Krystle Michelle Wisnasky, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6812 State Route 162 Ste 200, Maryville, IL 62062 Phone: 618-288-0900 |