| Phylicia Little, FNP-BC | |
|
13655 Riverport Dr, Maryland Heights, MO 63043-4812 | |
| (314) 972-7000 | |
| Not Available |
| Full Name | Phylicia Little |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 11 Years |
| Location | 13655 Riverport Dr, Maryland Heights, 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 |
|---|---|---|---|
| 1053782276 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 2016027446 (Missouri) | Primary |
| 163W00000X | Registered Nurse | 2009020513 (Missouri) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Yam Medical Center Llc | 8123445764 | 4 |
| Entity Name | Specialized Wound Management LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962430157 PECOS PAC ID: 4284628173 Enrollment ID: O20040413001407 |
| Entity Name | Clinical Research Associates PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063632826 PECOS PAC ID: 5597662080 Enrollment ID: O20040910000261 |
| Entity Name | NP Health of Mo LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477170959 PECOS PAC ID: 4183047053 Enrollment ID: O20200710000779 |
| Entity Name | Yam Medical Center LLC |
|---|---|
| Entity Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Entity Identifiers | NPI Number: 1568072650 PECOS PAC ID: 8123445764 Enrollment ID: O20200828001927 |
| Entity Name | Bloom Primary Mo, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093667750 PECOS PAC ID: 2062997638 Enrollment ID: O20260401000355 |
| Mailing Address | Practice Location Address |
|---|---|
| Phylicia Little, FNP-BC 13655 Riverport Dr, Maryland Heights, MO 63043-4812 Ph: Not Available | Phylicia Little, FNP-BC 13655 Riverport Dr, Maryland Heights, MO 63043-4812 Ph: (314) 972-7000 |
Michelle L Piole, CPNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11365 Dorsett Rd, Maryland Heights, MO 63043 Phone: 314-872-6430 |
Beth Marilyn Glenn, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2458 Old Dorsett Rd Ste 110, Maryland Heights, MO 63043 Phone: 636-939-2550 |
Karen A Sepe, R.N., C.P.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11365 Dorsett Rd, Maryland Heights, MO 63043 Phone: 314-872-6430 Fax: 314-872-6500 |
Denise Jacqueline Wagster, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2070 Mckelvey Rd, Maryland Heights, MO 63043 Phone: 314-434-1900 Fax: 314-434-1902 |
Mr. Amadu Barrie, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 134 Midland Avenue, Maryland Heights, MO 63043 Phone: 314-583-0865 |
Matthew Hammer, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2022 Dorsett Vlg, Maryland Heights, MO 63043 Phone: 314-590-0520 |
Janette Patricia Valentine, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1872 Woodhollow Dr Apt 103, Maryland Heights, MO 63043 Phone: 954-864-5722 |