Mrs Suan Marie Rachels, PMHNP-BC | |
220 Wenkel St, Columbia, IL 62236-1849 | |
(618) 444-5455 | |
Not Available |
Full Name | Mrs Suan Marie Rachels |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 220 Wenkel St, Columbia, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194459016 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 2022026219 (Missouri) | Primary |
Entity Name | Mercy Aco Clinical Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063965093 PECOS PAC ID: 6901188572 Enrollment ID: O20170117001888 |
Mailing Address | Practice Location Address |
---|---|
Mrs Suan Marie Rachels, PMHNP-BC 220 Wenkel St, Columbia, IL 62236-1849 Ph: (618) 444-5455 | Mrs Suan Marie Rachels, PMHNP-BC 220 Wenkel St, Columbia, IL 62236-1849 Ph: (618) 444-5455 |
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