| Ms Megan Samantha Knetzer, FNP | |
|
3 Saint Elizabeth Blvd Ste 3900, O Fallon, IL 62269-1282 | |
| (314) 806-1770 | |
| (314) 558-9017 |
| Full Name | Ms Megan Samantha Knetzer |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 3 Saint Elizabeth Blvd Ste 3900, O Fallon, 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 |
|---|---|---|---|
| 1790301232 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | 2021018970 (Missouri) | Secondary |
| 363LA2200X | Nurse Practitioner - Adult Health | 209030918 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hshs St Elizabeth's Hospital | O fallon, IL | Hospital |
| Anderson Hospital | Maryville, IL | Hospital |
| Ssm Health St Mary's Hospital -centralia | Centralia, IL | Hospital |
| Hshs Holy Family Hospital Inc | Greenville, IL | Hospital |
| St Anthonys Memorial Hospital | Effingham, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Urology Of St. Louis, Inc | 6204723786 | 102 |
| Anderson Medical Group Llc | 5193792018 | 118 |
| Urology Of St. Louis, Inc | 6204723786 | 102 |
| Entity Name | Signature Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871542761 PECOS PAC ID: 4880598291 Enrollment ID: O20031204000173 |
| Entity Name | Urology Of St. Louis, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528017191 PECOS PAC ID: 6204723786 Enrollment ID: O20050629000005 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Megan Samantha Knetzer, FNP 12855 N 40 Dr Ste 375, Saint Louis, MO 63141-8657 Ph: (314) 806-1770 | Ms Megan Samantha Knetzer, FNP 3 Saint Elizabeth Blvd Ste 3900, O Fallon, IL 62269-1282 Ph: (314) 806-1770 |
Kathy Liefer, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3 Saint Elizabeth Blvd, O Fallon, IL 62269 Phone: 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 | |
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 |