Kayla Moll, MSN FNP-C | |
739 N Jefferson St # 200, Mascoutah, IL 62258-1447 | |
(618) 566-8810 | |
Not Available |
Full Name | Kayla Moll |
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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 |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366639759 PECOS PAC ID: 2264489038 Enrollment ID: O20050404000800 |
Mailing Address | Practice Location Address |
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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 |
Angela Dawn Herndon, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 739 N Jefferson St, Suite 200, Mascoutah, IL 62258 Phone: 618-566-8810 Fax: 618-566-7121 | |
Kristin Nicole Wilmes, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 800 Tanzanite Ln, Mascoutah, IL 62258 Phone: 618-567-0336 | |
Mareesha Ante Carter, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 533 Streamstone Ln, Mascoutah, IL 62258 Phone: 314-482-7547 |