| Makaria Kenzie Mcmullen, FNP | |
|
1390 Us Highway 61 Ste N1500, Crystal Cty, MO 63028-4137 | |
| (636) 933-8050 | |
| (636) 933-8047 |
| Full Name | Makaria Kenzie Mcmullen |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 1 Years |
| Location | 1390 Us Highway 61 Ste N1500, Crystal Cty, Missouri |
| 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 |
|---|---|---|---|
| 1396614996 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 2020027835 (Missouri) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 2026005553 (Missouri) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Clinic Surgical Specialists Llc | 1153455076 | 180 |
| Entity Name | Mercy Clinic Surgical Specialists LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043530538 PECOS PAC ID: 1153455076 Enrollment ID: O20100813001038 |
| Mailing Address | Practice Location Address |
|---|---|
| Makaria Kenzie Mcmullen, FNP 1390 Us Highway 61 Ste N1500, Crystal Cty, MO 63028-4137 Ph: (636) 933-8050 | Makaria Kenzie Mcmullen, FNP 1390 Us Highway 61 Ste N1500, Crystal Cty, MO 63028-4137 Ph: (636) 933-8050 |
Ms. Alexandria Colleen Grodie, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1420 Us Highway 61, Crystal Cty, MO 63028 Phone: 636-543-2230 Fax: 636-543-2231 |
Dirk E Roberts, RNFA, FNP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1390 Us Highway 61 Ste N1500, Crystal Cty, MO 63028 Phone: 636-933-8050 Fax: 636-933-8047 |
Halie Rianne Scheffler, MSN-FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1377 Us Highway 61 Ste 100, Crystal Cty, MO 63028 Phone: 636-933-8940 Fax: 636-933-8941 |
Patricia Sue Firle, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1400 Us Highway 61, Crystal Cty, MO 63028 Phone: 636-933-5337 Fax: 636-933-8090 |
Melody Kay Willis, MSN, RN, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1420 Us Highway 61, Crystal Cty, MO 63028 Phone: 636-543-2230 Fax: 636-543-2231 |
Mrs. Amber Marie Owens, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1390 Us Highway 61 Ste N3300, Crystal Cty, MO 63028 Phone: 636-937-8675 Fax: 636-933-1981 |
Brandy Michelle Koch, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1390 Us Highway 61 Ste N1500, Crystal Cty, MO 63028 Phone: 636-931-5080 |