| Miranda Francis Pogue, FNP-BC | |
|
320 E Highway 50, O Fallon, IL 62269-2704 | |
| (618) 624-3368 | |
| Not Available |
| Full Name | Miranda Francis Pogue |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 13 Years |
| Location | 320 E Highway 50, 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 |
|---|---|---|---|
| 1427324656 | NPI | - | NPPES |
| 14773424656 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 209.010340 (Illinois) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 2012008985 (Missouri) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy East Ambulatory Services Llc | 2365739240 | 100 |
| Entity Name | Ssm Health Care St Louis |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275586174 PECOS PAC ID: 7810800737 Enrollment ID: O20031118000393 |
| Entity Name | Cep America Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619332046 PECOS PAC ID: 6608056171 Enrollment ID: O20150312000325 |
| Entity Name | Mercy East Ambulatory Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134673148 PECOS PAC ID: 2365739240 Enrollment ID: O20160920002054 |
| Mailing Address | Practice Location Address |
|---|---|
| Miranda Francis Pogue, FNP-BC 320 E Highway 50, O Fallon, IL 62269-2704 Ph: (618) 624-3368 | Miranda Francis Pogue, FNP-BC 320 E Highway 50, O Fallon, IL 62269-2704 Ph: (618) 624-3368 |
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 |