| Lori Denell Hawkins, NP | |
|
3 Saint Elizabeth Blvd, O Fallon, IL 62269-1281 | |
| (618) 641-5803 | |
| Not Available |
| Full Name | Lori Denell Hawkins |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 3 Saint Elizabeth Blvd, O Fallon, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760267736 | NPI | - | NPPES |
| 1760267736 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 209024612 (Illinois) | Primary |
| 363L00000X | Nurse Practitioner | 2023038671 (Missouri) | Secondary |
| Entity Name | Axis Spine & Orthopedics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467224048 PECOS PAC ID: 2062850308 Enrollment ID: O20240404002998 |
| Mailing Address | Practice Location Address |
|---|---|
| Lori Denell Hawkins, NP 3 Saint Elizabeth Blvd, O Fallon, IL 62269-1281 Ph: (618) 641-5803 | Lori Denell Hawkins, NP 3 Saint Elizabeth Blvd, O Fallon, IL 62269-1281 Ph: (618) 641-5803 |
Annamaria Griffith, DNP, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1405 N Green Mount Rd Ste 240, O Fallon, IL 62269 Phone: 618-632-9000 | |
Ms. Shambra Cullum, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Saint Elizabeth Blvd, O Fallon, IL 62269 Phone: 217-994-1485 | |
Mrs. Amy Marie Buck, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 670 Pierce Blvd, O Fallon, IL 62269 Phone: 618-206-2070 | |
Sarah Jane Brashear, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 320 E Highway 50, O Fallon, IL 62269 Phone: 888-577-6337 | |
Gerthy Cipus Pierre, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9 Eagle Ctr Ste 3, O Fallon, IL 62269 Phone: 618-954-7434 Fax: 888-533-1766 | |
Caitlin Alonzo, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Saint Elizabeth Blvd, O Fallon, IL 62269 Phone: 618-234-2120 | |
Derek Pechacek, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 320 E Highway 50, O Fallon, IL 62269 Phone: 618-624-3368 Fax: 618-624-3387 |