| Mary C Keane, FNP | |
|
1031 Bellevue Ave, Suite 300, Saint Louis, MO 63117-1818 | |
| (314) 647-9444 | |
| (314) 647-7317 |
| Full Name | Mary C Keane |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 14 Years |
| Location | 1031 Bellevue Ave, Saint Louis, 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 |
|---|---|---|---|
| 1043551807 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 2006021094 (Missouri) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 2013000128 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Edward Hospital | Naperville, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Edward Hospital | 0042108110 | 87 |
| Endeavor Health Medical Group | 2163334699 | 3022 |
| Entity Name | Edward Health Ventures |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962452912 PECOS PAC ID: 4284531484 Enrollment ID: O20031216000616 |
| Entity Name | Edward Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013969013 PECOS PAC ID: 0042108110 Enrollment ID: O20040309001279 |
| Entity Name | Endeavor Health Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary C Keane, FNP Po Box 23340, Saint Louis, MO 63156-3340 Ph: (314) 647-9444 | Mary C Keane, FNP 1031 Bellevue Ave, Suite 300, Saint Louis, MO 63117-1818 Ph: (314) 647-9444 |
Stephanie Lynn Shorey, WHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 621 S New Ballas Rd, Suite 2007b, Saint Louis, MO 63141 Phone: 314-991-5000 | |
Mr. Gary John Gardner, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4251 Forest Park Ave, Saint Louis, MO 63108 Phone: 618-363-9545 | |
Ms. Kim M French, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4500 Forest Park Ave, Div Im Hematology, 6th Fl, Saint Louis, MO 63108 Phone: 314-362-7216 Fax: 314-696-1391 | |
Barbara Ann Giese, RN, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 456 N New Ballas Rd, Suite 304, Saint Louis, MO 63141 Phone: 314-567-6868 Fax: 314-567-0578 | |
Mrs. Anna Ouida Barton, WHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9450 Manchester Rd Ste 206, Saint Louis, MO 63119 Phone: 314-725-9300 | |
Mrs. Michelle Marie Bloom, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Barnes Jewish Hospital Plz, Dept Anesthesiology, Saint Louis, MO 63110 Phone: 800-862-9980 Fax: 314-362-1185 | |
Jessica Lyn Burich, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1129 Macklind Ave, Saint Louis, MO 63110 Phone: 314-534-0200 Fax: 314-534-7996 |