| Mr Zachary Wade Orr, AGNP-C | |
|
300 Forby Rd, Eureka, MO 63025-2321 | |
| (636) 938-5151 | |
| (636) 938-5266 |
| Full Name | Mr Zachary Wade Orr |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 300 Forby Rd, Eureka, Missouri |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184221160 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LG0600X | Nurse Practitioner - Gerontology | 2020030165 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Gateway Regional Medical Center | Granite city, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ahs Il Medical Group Llc | 5496111676 | 51 |
| Entity Name | Trinity Medical Staffing Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770103426 PECOS PAC ID: 1759712698 Enrollment ID: O20200511000598 |
| Entity Name | Ahs Il Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659098101 PECOS PAC ID: 5496111676 Enrollment ID: O20230512001300 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Zachary Wade Orr, AGNP-C Po Box 270653, Saint Louis, MO 63127-0653 Ph: (217) 257-8677 | Mr Zachary Wade Orr, AGNP-C 300 Forby Rd, Eureka, MO 63025-2321 Ph: (636) 938-5151 |
Christina Jane Linsenbardt, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 103 Hilltop Village Center Dr, Eureka, MO 63025 Phone: 636-587-6478 | |
Hawa Cissokho, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 17178 Elm Trail Dr, Eureka, MO 63025 Phone: 636-628-6785 | |
Brittany Nichole Eaton, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 Forby Rd, Eureka, MO 63025 Phone: 636-938-5151 | |
Tammy L. Prewitt, F.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 20 The Legends Pkwy, Eureka, MO 63025 Phone: 636-938-3399 Fax: 636-938-9609 |