| Jessica R Therien, APRN, FNP-C | |
|
2122 Troy Rd Ste 130, Edwardsville, IL 62025-2540 | |
| (618) 800-4500 | |
| Not Available |
| Full Name | Jessica R Therien |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 2122 Troy Rd Ste 130, Edwardsville, 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 |
|---|---|---|---|
| 1164122974 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 209026898 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fairview Heights Medical Group Sc | 6800784083 | 386 |
| Entity Name | Fairview Heights Medical Group Sc |
|---|---|
| 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 |
|---|---|
| Jessica R Therien, APRN, FNP-C 4600 Memorial Dr Ste 360, Belleville, IL 62226-5366 Ph: (618) 222-7280 | Jessica R Therien, APRN, FNP-C 2122 Troy Rd Ste 130, Edwardsville, IL 62025-2540 Ph: (618) 800-4500 |
Jason Smith, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 413 Sanner St, Edwardsville, IL 62025 Phone: 618-203-3733 | |
Ranita R Keller, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2122 Troy Rd Ste 130, Edwardsville, IL 62025 Phone: 618-800-4500 | |
Gerthy Cipus Pierre, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1706 Cloverdale Dr, Edwardsville, IL 62025 Phone: 618-482-6959 | |
Amanda Brittany Weiss, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1329 Gerber Woods Dr, Edwardsville, IL 62025 Phone: 618-616-1234 | |
Jill Marie Heitzig, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Hairpin Drive, Edwardsville, IL 62026 Phone: 618-650-3956 | |
Elizabeth Ballinger, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 28 Meadow Rue Dr, Edwardsville, IL 62025 Phone: 618-631-9329 |