| Ms Chloe Suzanne Datillo, NURSE PRACTITIONER | |
|
2865 Netherton Dr., St Louis, MO 63136 | |
| (314) 653-1600 | |
| (314) 355-5716 |
| Full Name | Ms Chloe Suzanne Datillo |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 2865 Netherton Dr., St Louis, 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 |
|---|---|---|---|
| 1366096703 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 2019025323 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Christian Hospital Northeast | Saint louis, MO | Hospital |
| Alton Memorial Hospital | Alton, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Christian Hospital Physician Billing Services Llc | 4284796913 | 10 |
| Alton Memorial Physician Billing Services Llc | 9436389442 | 9 |
| Entity Name | St Louis Cardiology Consultants Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801831045 PECOS PAC ID: 6608769245 Enrollment ID: O20050302000525 |
| Entity Name | David J. Pernikoff, Md, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952596314 PECOS PAC ID: 7618064775 Enrollment ID: O20071106000572 |
| Entity Name | Christian Hospital Physician Billing Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689828501 PECOS PAC ID: 4284796913 Enrollment ID: O20081215000305 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Chloe Suzanne Datillo, NURSE PRACTITIONER 2865 Netherton Dr., St Louis, MO 63136 Ph: (314) 653-1600 | Ms Chloe Suzanne Datillo, NURSE PRACTITIONER 2865 Netherton Dr., St Louis, MO 63136 Ph: (314) 653-1600 |
Mrs. Cathy Hinton, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4291 Parkview Place, St Louis, MO 63110 Phone: 314-454-8134 | |
Mrs. Mary H Brice, RN BC ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3023 N Ballas Rd, Suite 500d Rheumatology & Internal Med Assoc Of West Co, St Louis, MO 63131 Phone: 314-567-4541 Fax: 314-569-3647 | |
Ms. Shelly Ann Campbell, RN, ACNP, BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: #1 Barnes Jewish, St Louis, MO 63110 Phone: 314-362-6620 Fax: 314-362-6660 | |
Cody Marie Eckelkamp, FNP, BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 621 S New Ballas Road, St Louis, MO 63141 Phone: 636-667-3425 | |
Ms. Kathleen M Spranaitis, RN SC PNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1465 S Grand, St Louis, MO 63104 Phone: 314-577-5647 Fax: 314-268-2775 | |
Mrs. Linda K Mccloud, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11125 Dunn Rd, Suite 304, St Louis, MO 63136 Phone: 314-355-1166 Fax: 314-355-9179 |