| Mrs Kimberly L Koontz, NP-C | |
|
1615 Jungermann Rd, Saint Peters, MO 63304-2821 | |
| (636) 800-2157 | |
| (636) 800-2159 |
| Full Name | Mrs Kimberly L Koontz |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 12 Years |
| Location | 1615 Jungermann Rd, Saint Peters, 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 |
|---|---|---|---|
| 1205235355 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 209011642 (Illinois) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 2023006444 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Hospital South | Saint louis, MO | Hospital |
| Mercy Hospital St Louis | Saint louis, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Clinic East Communities | 7214827922 | 535 |
| Entity Name | Mercy Clinic East Communities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851335228 PECOS PAC ID: 7214827922 Enrollment ID: O20070521000006 |
| Entity Name | Mercy East Ambulatory Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134673148 PECOS PAC ID: 2365739240 Enrollment ID: O20160920002054 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Kimberly L Koontz, NP-C 1615 Jungermann Rd, Saint Peters, MO 63304-2821 Ph: (636) 800-2157 | Mrs Kimberly L Koontz, NP-C 1615 Jungermann Rd, Saint Peters, MO 63304-2821 Ph: (636) 800-2157 |
Carol Berger, DNP, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Attention Medical Staff Office, 10 Hospital Drive, Saint Peters, MO 63376 Phone: 314-317-0600 | |
Michelle L. Maloney, RN BC-ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10 Hospital Dr, Ste 100, Saint Peters, MO 63376 Phone: 636-916-7272 Fax: 636-916-7274 | |
Mrs. Chelsey Jo Becker, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 400 Mid Rivers Mall Dr, Saint Peters, MO 63376 Phone: 866-389-2727 | |
Mrs. Laura Ann Benack, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 150 Entrance Way, Saint Peters, MO 63376 Phone: 636-916-9920 Fax: 636-916-9176 | |
Elizabeth Gordon, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4800 Mexico Rd, Suite 102, Saint Peters, MO 63376 Phone: 636-441-0067 Fax: 636-441-1062 | |
Samantha Nicole Lillico, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3701 N Saint Peters Pkwy Ste B2, Saint Peters, MO 63376 Phone: 636-681-3166 | |
Ms. Jennifer Louise Keen, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6 Jungermann Cir, Suite 209, Saint Peters, MO 63376 Phone: 636-916-9080 Fax: 636-916-9332 |