| Mrs Donna Marie Avery, NP | |
|
2420 State St, East Saint Louis, IL 62205-2321 | |
| (618) 318-8809 | |
| (618) 615-4205 |
| Full Name | Mrs Donna Marie Avery |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 2420 State St, East Saint Louis, 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 |
|---|---|---|---|
| 1114446515 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 209016129 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Osh-il Physicians Group Llc | 3870877699 | 3 |
| Entity Name | Granite City Hospitalist Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669926424 PECOS PAC ID: 8527356591 Enrollment ID: O20161006000282 |
| Entity Name | Osh-il Physicians Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265977698 PECOS PAC ID: 3870877699 Enrollment ID: O20170222002860 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Donna Marie Avery, NP Po Box 746715, Atlanta, GA 30374-6715 Ph: (773) 352-1515 | Mrs Donna Marie Avery, NP 2420 State St, East Saint Louis, IL 62205-2321 Ph: (618) 318-8809 |
Yolanda L Hoag, ACNPC-AG Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2001 State St, East Saint Louis, IL 62205 Phone: 618-271-9191 Fax: 618-271-9617 | |
Stephanie Michelle Tate-patterson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4901 State St, East Saint Louis, IL 62205 Phone: 618-646-3700 | |
Ms. Jewel Radford, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 601 James R Thompson Blvd Ste 2015, East Saint Louis, IL 62201 Phone: 618-482-6959 | |
Kayla Ann Pryor, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2001 State St, East Saint Louis, IL 62205 Phone: 618-271-0204 | |
Ms. Latisha Trenice Stennis, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8106 Carol Dr, East Saint Louis, IL 62203 Phone: 618-558-0920 | |
Mrs. Virginia L Behrhorst, BC APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 601 James R Thompson Blvd, Building D 2015, East Saint Louis, IL 62201 Phone: 618-482-6959 Fax: 618-482-8311 |