| Mrs Katherine Anne Burnley, ANP-C | |
|
2133 Vadalabene Dr, Suite 5b, Maryville, IL 62062-5839 | |
| (618) 288-7605 | |
| (618) 288-7644 |
| Full Name | Mrs Katherine Anne Burnley |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 11 Years |
| Location | 2133 Vadalabene Dr, Maryville, 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 |
|---|---|---|---|
| 1013397967 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 2014040193 (Missouri) | Secondary |
| 363L00000X | Nurse Practitioner | 209012521 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Generation Clinical Partners Llc | 1557687803 | 21 |
| Generation Clinical Partners Llc | 1557687803 | 21 |
| Pai Participant 27, Pc | 2668872672 | 4 |
| Entity Name | Generation Clinical Partners Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104235241 PECOS PAC ID: 1557687803 Enrollment ID: O20150303001785 |
| Entity Name | Sound Physicians Of Illinois Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043598865 PECOS PAC ID: 1557533734 Enrollment ID: O20170519000666 |
| Entity Name | Pai Participant 1 Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093371312 PECOS PAC ID: 8123351954 Enrollment ID: O20210503000979 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Katherine Anne Burnley, ANP-C 2133 Vadalabene Dr, Suite 5b, Maryville, IL 62062-5839 Ph: (618) 288-7605 | Mrs Katherine Anne Burnley, ANP-C 2133 Vadalabene Dr, Suite 5b, Maryville, IL 62062-5839 Ph: (618) 288-7605 |
Alyssa Ruwe Martz, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6812 State Route 162, Suite 123, Maryville, IL 62062 Phone: 618-288-9460 Fax: 618-288-9461 | |
Mrs. Joann Marie Wilson, RN, APRN-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2023 Vadalabene Dr Ste 300, Maryville, IL 62062 Phone: 618-288-6722 Fax: 618-288-2077 | |
Jennifer D Wesselman-williams, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2023 Vadalabene Dr Ste 200, Maryville, IL 62062 Phone: 618-288-7408 Fax: 618-288-7418 | |
Jessica Lynn Sheffer, MSN, APRN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6812 State Route 162 Ste 200, Maryville, IL 62062 Phone: 618-288-0900 | |
Danielle Nicole Fries, AGNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6812 State Route 162 Ste 200, Maryville, IL 62062 Phone: 618-288-0900 Fax: 618-288-0909 | |
Deanna Moorman, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2023 Vadalabene Dr, Suite 200, Maryville, IL 62062 Phone: 618-288-7408 |