| Ms Benedicta I Odemerho, FNP | |
|
5800 Godfrey Rd, Fobes 1525, Godfrey, IL 62035-2426 | |
| (618) 468-6800 | |
| (618) 468-7410 |
| Full Name | Ms Benedicta I Odemerho |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 5800 Godfrey Rd, Godfrey, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427332956 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 209009075 (Illinois) | Primary |
| 207Q00000X | Family Medicine | 209009075 (Illinois) | Secondary |
| Entity Name | Sigma Haggerty Medical Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699136655 PECOS PAC ID: 9537467386 Enrollment ID: O20160421000032 |
| Entity Name | City Medical Partners Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285095315 PECOS PAC ID: 5991003659 Enrollment ID: O20160421000430 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Benedicta I Odemerho, FNP 5800 Godfrey Rd, Godfrey, IL 62035-2426 Ph: (618) 468-6800 | Ms Benedicta I Odemerho, FNP 5800 Godfrey Rd, Fobes 1525, Godfrey, IL 62035-2426 Ph: (618) 468-6800 |
Mrs. Lori Paige Balchik, PNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6702 Godfrey Rd, Godfrey, IL 62035 Phone: 618-467-1520 | |
Christen E Rincker, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5213 Godfrey Rd Ste 110, Godfrey, IL 62035 Phone: 618-619-3330 | |
Lisa K James, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5213 Godfrey Rd Ste 110, Godfrey, IL 62035 Phone: 618-619-3330 | |
Christina Varady, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5303 Whispering Woods Dr, Godfrey, IL 62035 Phone: 314-541-8248 | |
Mrs. Sarah Ann Becker, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5520 Godfrey Rd, Ste B, Godfrey, IL 62035 Phone: 618-463-7800 Fax: 618-463-0073 | |
Briana Waldeck, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5213 Godfrey Rd Ste 110, Godfrey, IL 62035 Phone: 618-619-3330 Fax: 618-619-3390 |