| Kathy Liefer, NURSE PRACTITIONER | |
|
4600 Memorial Dr Ste 120, Belleville, IL 62226-5359 | |
| (618) 222-1020 | |
| (618) 222-1039 |
| Full Name | Kathy Liefer |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 4600 Memorial Dr Ste 120, Belleville, 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 |
|---|---|---|---|
| 1013439777 | NPI | - | NPPES |
| 209015891 | Other | IL | APN LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 209015891 (Illinois) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 209015891 (Illinois) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hshs St Elizabeth's Hospital | O fallon, IL | Hospital |
| St Johns Hospital | Springfield, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hshs Medical Group Inc | 5092857821 | 181 |
| Entity Name | Hshs Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962644807 PECOS PAC ID: 5092857821 Enrollment ID: O20100116000275 |
| Mailing Address | Practice Location Address |
|---|---|
| Kathy Liefer, NURSE PRACTITIONER Po Box 959203, Saint Louis, MO 63195-9203 Ph: (618) 222-1020 | Kathy Liefer, NURSE PRACTITIONER 4600 Memorial Dr Ste 120, Belleville, IL 62226-5359 Ph: (618) 222-1020 |
Kelsey Beasley, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3060 Harvest Meadow Dr, Belleville, IL 62221 Phone: 618-792-8887 | |
Ms. Lauren Nicole Marshall, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4500 Memorial Dr, Belleville, IL 62226 Phone: 618-257-5455 Fax: 618-257-4490 | |
Mr. Lito T Rufin, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4500 Memorial Dr, Belleville, IL 62226 Phone: 618-257-6220 | |
Cindy L. Auld, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4600 Memorial Dr, Ste. 400, Belleville, IL 62226 Phone: 618-234-2390 Fax: 618-234-9936 | |
Pamela A O'neal, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 130 Lincoln Place Ct, Belleville, IL 62221 Phone: 618-257-2029 Fax: 618-235-5371 | |
Mrs. Deanna L. Rodenberg, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4550 Memorial Dr, Ste. 340, Belleville, IL 62226 Phone: 618-257-6200 Fax: 618-257-6679 |