| Kayla Jean Blaes, FNP | |
| 
					304a E 4th St, Eldon, MO 65026-1808  | |
| (573) 557-2400 | |
| (573) 557-2401 | 
| Full Name | Kayla Jean Blaes | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 304a E 4th St, Eldon, Missouri | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1679114722 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 2019036877 (Missouri) | Primary | 
| Entity Name | Lake Regional Health System | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1053581454 PECOS PAC ID: 9133026776 Enrollment ID: O20070511000147  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Kayla Jean Blaes, FNP 54 Hospital Dr, Osage Beach, MO 65065-3050 Ph: (573) 348-8399  | Kayla Jean Blaes, FNP 304a E 4th St, Eldon, MO 65026-1808 Ph: (573) 557-2400  | 
Michael James Lewis, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 304a E 4th St, Eldon, MO 65026 Phone: 573-552-5700 Fax: 573-557-2401  | |
Julie L. Russell, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 304 A East 4th St, Eldon, MO 65026 Phone: 573-392-5654 Fax: 573-392-5692  | |
Kaydie Ann Dial, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 304a E 4th St, Eldon, MO 65026 Phone: 573-392-5654  | |
Mrs. Lauren Nicole Freeze, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 304a E 4th St, Eldon, MO 65026 Phone: 573-392-5654  | |
Laura M Thompson, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 304a E 4th St, Eldon, MO 65026 Phone: 573-557-2400 Fax: 573-557-2401  | |
Mrs. Lisa Ann Galeski, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 206 S Mill Street, Eldon, MO 65026 Phone: 844-853-8937 Fax: 417-350-1935  | |
Josetta Eliese Wahwassuck, MSN, FNP, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 206 S Mill St, Eldon, MO 65026 Phone: 888-403-1071  |