| Mrs Deanna Marie Mantle, | |
|
1125 Madison St, Jefferson City, MO 65101-5227 | |
| (573) 632-5581 | |
| (573) 632-5876 |
| Full Name | Mrs Deanna Marie Mantle |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 1125 Madison St, Jefferson City, 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 |
|---|---|---|---|
| 1194117671 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 2008020776 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Of Missouri Health Care | Columbia, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Curators Of The University Of Missouri | 4486759560 | 1035 |
| Entity Name | Capital Region Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477980837 PECOS PAC ID: 4688573686 Enrollment ID: O20070323000507 |
| Entity Name | The Curators Of The University Of Missouri |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235126921 PECOS PAC ID: 4486759560 Enrollment ID: O20070418000290 |
| Entity Name | Hospital Medicine Services Of Tennessee Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528433802 PECOS PAC ID: 9234432881 Enrollment ID: O20160531002246 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Deanna Marie Mantle, 1716 Highway C, Bonnots Mill, MO 65016-2104 Ph: () - | Mrs Deanna Marie Mantle, 1125 Madison St, Jefferson City, MO 65101-5227 Ph: (573) 632-5581 |
Jeremey James Laflamme, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 310 Westchase Ln, Jefferson City, MO 65109 Phone: 732-167-3255 | |
Ashlee Kathleen Parkes, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1241 W Stadium Blvd, Jefferson City, MO 65109 Phone: 573-634-4878 Fax: 573-634-4723 | |
Judith A. Wienke, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1241 W Stadium Blvd, Jefferson City, MO 65109 Phone: 573-635-5264 Fax: 573-634-7423 | |
Jill A. Kliethermes, APRN, BC, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1241 W Stadium Blvd, Jefferson City, MO 65109 Phone: 573-556-5747 Fax: 573-635-5264 | |
Sara J Marso, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2511 W Edgewood Dr Ste D, Jefferson City, MO 65109 Phone: 573-761-0304 Fax: 573-635-0726 | |
Taran Elyse Burgess Murphy, DNP, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1014 Madison St, Jefferson City, MO 65101 Phone: 573-644-6999 | |
Erica Anne White, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1125 Madison St, Jefferson City, MO 65101 Phone: 573-632-5337 |