| Moya Racquel Cook, FNP | |
|
502 W St Louis St, West Frankfort, IL 62896 | |
| (618) 937-3400 | |
| (618) 937-3407 |
| Full Name | Moya Racquel Cook |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 502 W St Louis St, West Frankfort, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760610729 | NPI | - | NPPES |
| 80077375 | Other | MEDICARE RAILROAD | |
| 33308 | Other | HEALTH ALLIANCE | |
| 103788 | Other | HEALTHLINK | |
| 10019630 | Other | IL | ATTACHMENT |
| 10800012002 | Other | HEALTH CONNECT | |
| 36062597 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 209007626 (Illinois) | Primary |
| Entity Name | Metro Infectious Disease Consultants Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235125717 PECOS PAC ID: 3072425784 Enrollment ID: O20031103000274 |
| Entity Name | Integrated Health Of Southern Illinois Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982738274 PECOS PAC ID: 2365401122 Enrollment ID: O20041007000123 |
| Mailing Address | Practice Location Address |
|---|---|
| Moya Racquel Cook, FNP 405 Rushing Dr, Herrin, IL 62948-3730 Ph: (618) 993-3300 | Moya Racquel Cook, FNP 502 W St Louis St, West Frankfort, IL 62896 Ph: (618) 937-3400 |
Travis Michael Seddon, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 502 W Saint Louis St Ste 4, West Frankfort, IL 62896 Phone: 618-937-3400 Fax: 618-932-9010 | |
Janalyn Elwood, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 502 W Saint Louis St Ste 4, West Frankfort, IL 62896 Phone: 618-937-3400 Fax: 618-932-9010 | |
Adam Waller, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 502 W Saint Louis St Ste 4, West Frankfort, IL 62896 Phone: 618-937-3400 Fax: 618-997-9324 | |
Kendra Megan Fischer, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 309 W Saint Louis St, West Frankfort, IL 62896 Phone: 618-932-8375 Fax: 618-932-8575 | |
Mrs. Krysten Taylor Whitehead, APRN FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 909 W Main St, West Frankfort, IL 62896 Phone: 618-372-6040 | |
Max A Baier, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2553 Ken Gray Blvd, West Frankfort, IL 62896 Phone: 618-932-3937 Fax: 618-932-2734 |