| Ms Chloe Suzanne Datillo, NURSE PRACTITIONER | |
|
1201 S Grand Blvd, Saint Louis, MO 63104-1016 | |
| (314) 617-2000 | |
| Not Available |
| Full Name | Ms Chloe Suzanne Datillo |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 1201 S Grand Blvd, Saint 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 |
|---|---|---|
| Alton Memorial Hospital | Alton, IL | Hospital |
| Christian Hospital Northeast | Saint louis, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Christian Hospital Physician Billing Services Llc | 4284796913 | 11 |
| Alton Memorial Physician Billing Services Llc | 9436389442 | 10 |
| 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 1201 S Grand Blvd, Saint Louis, MO 63104-1016 Ph: (314) 617-2000 |
Stephanie Lynn Shorey, WHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 621 S New Ballas Rd, Suite 2007b, Saint Louis, MO 63141 Phone: 314-991-5000 | |
Mr. Gary John Gardner, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4251 Forest Park Ave, Saint Louis, MO 63108 Phone: 618-363-9545 | |
Ms. Kim M French, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4500 Forest Park Ave, Div Im Hematology, 6th Fl, Saint Louis, MO 63108 Phone: 314-362-7216 Fax: 314-696-1391 | |
Barbara Ann Giese, RN, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 456 N New Ballas Rd, Suite 304, Saint Louis, MO 63141 Phone: 314-567-6868 Fax: 314-567-0578 | |
Mrs. Anna Ouida Barton, WHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9450 Manchester Rd Ste 206, Saint Louis, MO 63119 Phone: 314-725-9300 | |
Mrs. Michelle Marie Bloom, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Barnes Jewish Hospital Plz, Dept Anesthesiology, Saint Louis, MO 63110 Phone: 800-862-9980 Fax: 314-362-1185 | |
Jessica Lyn Burich, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1129 Macklind Ave, Saint Louis, MO 63110 Phone: 314-534-0200 Fax: 314-534-7996 |