| Mrs Renee L Willer, APRN | |
|
4581 Gravois Rd, House Springs, MO 63051-1374 | |
| (636) 671-9980 | |
| (636) 671-9981 |
| Full Name | Mrs Renee L Willer |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 21 Years |
| Location | 4581 Gravois Rd, House Springs, 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 |
|---|---|---|---|
| 1477530814 | NPI | - | NPPES |
| 138513 | Other | MO | LICENSE |
| 1477530814 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 138512 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Amedisys Home Health Of Missouri | Hillsboro, MO | Home health agency |
| Ssm St Clare Health Center | Fenton, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lake Girl Inc | 6204057334 | 2 |
| Entity Name | Lake Girl Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255730446 PECOS PAC ID: 6204057334 Enrollment ID: O20141014002343 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Renee L Willer, APRN 4581 Gravois Rd, House Springs, MO 63051-1374 Ph: (636) 671-9980 | Mrs Renee L Willer, APRN 4581 Gravois Rd, House Springs, MO 63051-1374 Ph: (636) 671-9980 |
Zachary Voss, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4581 Gravois Rd, House Springs, MO 63051 Phone: 636-671-9980 Fax: 636-671-9981 | |
Sara Hicks, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 Osage Executive Cir, House Springs, MO 63051 Phone: 636-677-9977 Fax: 636-677-9179 |