| Mrs Julia Branco, FNP-C | |
|
1002 Peruque Crossing Ct, Suite 101, O Fallon, MO 63366-2362 | |
| (636) 294-5900 | |
| (636) 294-5908 |
| Full Name | Mrs Julia Branco |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 13 Years |
| Location | 1002 Peruque Crossing Ct, O Fallon, 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 |
|---|---|---|---|
| 1245669316 | NPI | - | NPPES |
| MA1721 | Other | MO | MEDICARE GROUP PTAN |
| 1245669316 | Medicaid | MO | |
| 1245669316 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 2013015686 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ssm Health St Joseph Hospital-st Charles | Saint charles, MO | Hospital |
| St Lukes Hospital | Chesterfield, MO | Hospital |
| Ssm Health St Joseph Hospital-lake Saint Louis | Lake saint louis, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ssm Medical Group Inc | 6608776299 | 565 |
| Entity Name | SSM Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700966207 PECOS PAC ID: 6608776299 Enrollment ID: O20040729001034 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Julia Branco, FNP-C 1002 Peruque Crossing Ct, Suite 101, O Fallon, MO 63366-2362 Ph: (636) 294-5900 | Mrs Julia Branco, FNP-C 1002 Peruque Crossing Ct, Suite 101, O Fallon, MO 63366-2362 Ph: (636) 294-5900 |
Mrs. Shannon M Wood, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9209 Phoenix Village Pkwy, O Fallon, MO 63368 Phone: 636-561-4613 Fax: 636-561-4610 |
Vonda G Gibson, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Po Box 1695, O Fallon, MO 63366 Phone: 636-385-3347 |
Courtney Paige Jones, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 300 Winding Woods Dr, O Fallon, MO 63366 Phone: 636-614-3280 |
Leah W Wangui, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 225 Mystic Cv, O Fallon, MO 63368 Phone: 314-583-4665 |
Kelli Elizabeth Buntaine, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2991 Highway K, O Fallon, MO 63368 Phone: 636-435-2333 Fax: 314-626-8009 |
Mrs. Dawn Marie Johns, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 920 N Main St, O Fallon, MO 63366 Phone: 314-687-2731 |
Brooke Lauren Meyer, RN, MSN, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 300 Winding Woods Dr Ste 101, O Fallon, MO 63366 Phone: 636-978-7902 |