| Jillian A Hodge, NP | |
|
22361 Oak Ridge Dr, Shell Knob, MO 65747-7822 | |
| (417) 858-3731 | |
| Not Available |
| Full Name | Jillian A Hodge |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 22361 Oak Ridge Dr, Shell Knob, 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 |
|---|---|---|---|
| 1194254664 | NPI | - | NPPES |
| PENDING | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 2004036967 (Missouri) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 2017021980 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Hospital - Cassville | Cassville, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Clinic Springfield Communities | 7416865845 | 989 |
| Entity Name | Mercy Clinic Springfield Communities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245277631 PECOS PAC ID: 7416865845 Enrollment ID: O20031104000060 |
| Entity Name | Mercy Clinic Springfield Communities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972771657 PECOS PAC ID: 7416865845 Enrollment ID: O20031218000354 |
| Mailing Address | Practice Location Address |
|---|---|
| Jillian A Hodge, NP 22361 Oak Ridge Dr, Shell Knob, MO 65747 Ph: (855) 420-7900 | Jillian A Hodge, NP 22361 Oak Ridge Dr, Shell Knob, MO 65747-7822 Ph: (417) 858-3731 |
Deirdre Stocks, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 25376 State Highway 39 Ste 301, Shell Knob, MO 65747 Phone: 417-269-2470 Fax: 417-269-2473 | |
Michelle Gail O'connell, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 22361 Oak Ridge Dr, Shell Knob, MO 65747 Phone: 417-858-3731 | |
Lauren Nicole Argo, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 25376 State Highway 39 Ste 301, Shell Knob, MO 65747 Phone: 417-236-2680 Fax: 417-236-2683 | |
Elizabeth Ann Cornelius, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 22361 Oak Ridge Dr, Shell Knob, MO 65747 Phone: 417-858-3731 | |
Georgann Marie Greissinger, FNP CNM Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 25376 State Hwy 39, #301, Shell Knob, MO 65747 Phone: 417-236-2680 Fax: 417-236-2683 |