Ms Diane Marie Shallcross, APRN, FPA, PMHNP-BC | |
218 State St Ste B, Saint Charles, IL 60174-1841 | |
(815) 893-9417 | |
(224) 276-7254 |
Full Name | Ms Diane Marie Shallcross |
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Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 218 State St Ste B, Saint Charles, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629736285 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 277.003222 (Illinois) | Primary |
Entity Name | Grow Healthcare Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220414000139 |
Entity Name | Reasons Health, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174387195 PECOS PAC ID: 7618314378 Enrollment ID: O20240318002860 |
Mailing Address | Practice Location Address |
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Ms Diane Marie Shallcross, APRN, FPA, PMHNP-BC 218 State St Ste B, Saint Charles, IL 60174-1841 Ph: (847) 341-0297 | Ms Diane Marie Shallcross, APRN, FPA, PMHNP-BC 218 State St Ste B, Saint Charles, IL 60174-1841 Ph: (815) 893-9417 |
Mrs. Pracedes Del Mundo Vergara, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5n170 Dover Hill Rd, Saint Charles, IL 60175 Phone: 630-301-2667 | |
Nuvano Preethi Rajan Jayakumar, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 455 Dunham Rd Ste 100, Saint Charles, IL 60174 Phone: 630-770-3475 | |
Olena Kyrylenko, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 239 Fairview Dr, Saint Charles, IL 60174 Phone: 773-744-8497 | |
Sarah Skea, APRN, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 39w479 Baert Ln, Saint Charles, IL 60175 Phone: 630-715-1305 | |
Jennifer Lynne Hemmer, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 923 S Randall Rd, Saint Charles, IL 60174 Phone: 630-517-5788 | |
Cecilia Berumen, APRN FPA Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 451 Dunham Rd Ste 300, Saint Charles, IL 60174 Phone: 630-521-3110 Fax: 630-296-8965 |