| Ms Kayce Justine Bourgette, FNP | |
|
1418 Cross St, Div Im Medical Oncology, Ste 180, Shiloh, IL 62269-2914 | |
| (800) 647-2098 | |
| (618) 622-9724 |
| Full Name | Ms Kayce Justine Bourgette |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1418 Cross St, Shiloh, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114647039 | NPI | - | NPPES |
| 420115728 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 209026485 (Illinois) | Primary |
| Entity Name | Washington University Physicians In Illinois, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477076263 PECOS PAC ID: 4789945163 Enrollment ID: O20180227002018 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Kayce Justine Bourgette, FNP Po Box 7412011, Chicago, IL 60674-2011 Ph: (800) 647-2098 | Ms Kayce Justine Bourgette, FNP 1418 Cross St, Div Im Medical Oncology, Ste 180, Shiloh, IL 62269-2914 Ph: (800) 647-2098 |
Danielle Lynn Frueh, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1170 Fortune Blvd, Shiloh, IL 62269 Phone: 618-997-5266 | |
Gaylin Manion, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1167 Fortune Blvd, Shiloh, IL 62269 Phone: 618-207-6900 Fax: 618-207-6901 | |
Megan Elizabeth Lesko, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1179 Fortune Blvd, Shiloh, IL 62269 Phone: 309-368-8984 | |
Christina Marie Weibley, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1170 Fortune Blvd, Shiloh, IL 62269 Phone: 618-997-5266 Fax: 833-431-2272 | |
Lindsey Nicole Erickson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1414 Cross St Ste 230, Shiloh, IL 62269 Phone: 618-607-1260 | |
Kristy Wienstroer, WHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1191 Fortune Blvd, Shiloh, IL 62269 Phone: 618-206-6101 |