| Melody Kay Willis, MSN, RN, PMHNP-BC | |
|
1420 Us Highway 61, Crystal Cty, MO 63028-4108 | |
| (636) 543-2230 | |
| (636) 543-2231 |
| Full Name | Melody Kay Willis |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 13 Years |
| Location | 1420 Us Highway 61, 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 |
|---|---|---|---|
| 1336604370 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 2019009372 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Hospital Jefferson | Festus, MO | Hospital |
| Mercy Hospital South | Saint louis, MO | Hospital |
| Mercy Hospital Washington | Washington, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Anthonys Physician Organization Hospitalist Services Lc | 5092980656 | 140 |
| Mercy Clinic Adult Hospitalists Jefferson Llc | 8628205598 | 58 |
| Mercy Aco Clinical Services Inc | 6901188572 | 159 |
| Mercy Clinic Adult Hospitalists - Washington, Llc | 3577630540 | 31 |
| Entity Name | Mercy Clinic Adult Hospitalists - St. Louis, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841235108 PECOS PAC ID: 6002809944 Enrollment ID: O20040406001004 |
| Entity Name | Mercy Clinic Adult Hospitalists - Washington, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891943429 PECOS PAC ID: 3577630540 Enrollment ID: O20080917000782 |
| Entity Name | St Anthonys Physician Organization Hospitalist Services LC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407216336 PECOS PAC ID: 5092980656 Enrollment ID: O20111208000771 |
| Entity Name | Mercy East Support Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225382013 PECOS PAC ID: 0446498729 Enrollment ID: O20130528000281 |
| Entity Name | Mercy Clinic Adult Hospitalists Jefferson LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083052492 PECOS PAC ID: 8628205598 Enrollment ID: O20131220001798 |
| Entity Name | Mercy Aco Clinical Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063965093 PECOS PAC ID: 6901188572 Enrollment ID: O20170117001888 |
| Mailing Address | Practice Location Address |
|---|---|
| Melody Kay Willis, MSN, RN, PMHNP-BC 1420 Us Highway 61, Crystal Cty, MO 63028-4108 Ph: (636) 543-2230 | Melody Kay Willis, MSN, RN, PMHNP-BC 1420 Us Highway 61, Crystal Cty, MO 63028-4108 Ph: (636) 543-2230 |
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 |
Makaria Kenzie Mcmullen, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1390 Us Highway 61 Ste N1500, Crystal Cty, MO 63028 Phone: 636-933-8050 Fax: 636-933-8047 |
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 |