| Jodi Green, ARNP | |
|
1000 Crossroads Pl, High Ridge, MO 63049-2234 | |
| (866) 825-3227 | |
| (484) 450-2617 |
| Full Name | Jodi Green |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 19 Years |
| Location | 1000 Crossroads Pl, High Ridge, 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 |
|---|---|---|---|
| 1679730576 | NPI | - | NPPES |
| 152741 | Other | MO | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 152741 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Lukes Hospital | Chesterfield, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Emergency Physicians Of St Lukes Llc | 3779714142 | 58 |
| Family Medicine - Slmg South Llc | 3971833443 | 9 |
| Entity Name | Emergency Physicians Of St Lukes Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215359815 PECOS PAC ID: 3779714142 Enrollment ID: O20140327001965 |
| Entity Name | Family Medicine - Slmg South Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164077822 PECOS PAC ID: 3971833443 Enrollment ID: O20190925003479 |
| Mailing Address | Practice Location Address |
|---|---|
| Jodi Green, ARNP 161 Washington St, Eight Tower Bridge, Suite 1400, Conshohocken, PA 19428-2083 Ph: (866) 825-3227 | Jodi Green, ARNP 1000 Crossroads Pl, High Ridge, MO 63049-2234 Ph: (866) 825-3227 |
Mrs. Karen Suzanne Tharp, RN BC FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2500 Jessica Ct, High Ridge, MO 63049 Phone: 314-623-0238 | |
Mrs. Elizabeth Stout, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2116 Hillsboro Valley Park Road, High Ridge, MO 63049 Phone: 636-677-2712 Fax: 636-677-2712 | |
Allison Lee Schmiidt, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2680 Gravois Rd, High Ridge, MO 63049 Phone: 660-216-5041 | |
Kathleen Carter, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1000 Crossroads Pl, High Ridge, MO 63049 Phone: 314-687-2724 |