| Kelsey Beasley, | |
|
3060 Harvest Meadow Dr, Belleville, IL 62221-7044 | |
| (618) 792-8887 | |
| Not Available |
| Full Name | Kelsey Beasley |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 3060 Harvest Meadow Dr, 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 |
|---|---|---|---|
| 1003325952 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 209016345 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Joseph's Hospital | Highland, IL | Hospital |
| St Josephs Hospital | Breese, IL | Hospital |
| Fairfield Memorial Hospital 1 | Fairfield, IL | Hospital |
| Hshs St Elizabeth's Hospital | O fallon, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cancer Care Specialists Of Central Illinois Sc | 5991619116 | 31 |
| Entity Name | Cancer Care Specialists Of Central Illinois Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871580142 PECOS PAC ID: 5991619116 Enrollment ID: O20031113000022 |
| Entity Name | Allergy Asthma & Immunology Center Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184829210 PECOS PAC ID: 9830299247 Enrollment ID: O20070714000154 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelsey Beasley, 3060 Harvest Meadow Dr, Belleville, IL 62221-7044 Ph: (618) 792-8887 | Kelsey Beasley, 3060 Harvest Meadow Dr, Belleville, IL 62221-7044 Ph: (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 | |
Mrs. Michelle Veronica Jacob, AGNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4500 Memorial Dr, Dept Anesthesiology, Belleville, IL 62226 Phone: 800-862-9980 Fax: 314-362-7785 |