| Kayla Moll, MSN FNP-C | |
|
739 N Jefferson St # 200, Mascoutah, IL 62258-1447 | |
| (618) 566-8810 | |
| Not Available |
| Full Name | Kayla Moll |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 739 N Jefferson St # 200, Mascoutah, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780035329 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 209.014373 (Illinois) | Primary |
| Entity Name | Rural Family Medicine Associates Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366639759 PECOS PAC ID: 2264489038 Enrollment ID: O20050404000800 |
| Entity Name | Lincoln Surgical Associates, Ltd. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861706814 PECOS PAC ID: 9335320597 Enrollment ID: O20110221000715 |
| Mailing Address | Practice Location Address |
|---|---|
| Kayla Moll, MSN FNP-C 739 N Jefferson St # 200, Mascoutah, IL 62258-1447 Ph: (618) 566-8810 | Kayla Moll, MSN FNP-C 739 N Jefferson St # 200, Mascoutah, IL 62258-1447 Ph: (618) 566-8810 |
Kristin Nicole Wilmes, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 800 Tanzanite Ln, Mascoutah, IL 62258 Phone: 618-567-0336 | |
Tiffany Hosp, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 739 N Jefferson St Ste 200, Mascoutah, IL 62258 Phone: 618-566-8810 Fax: 618-566-7121 | |
Kelly M Whitaker, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 124 W Main St, Mascoutah, IL 62258 Phone: 186-402-5572 Fax: 636-333-4510 | |
Jennifer Lynn Earl, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 901 N 10th St, Mascoutah, IL 62258 Phone: 618-566-2183 |