| Rasha Issou, | |
|
15 Remington Place Ct, Ballwin, MO 63021-6369 | |
| (941) 222-0529 | |
| Not Available |
| Full Name | Rasha Issou |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 15 Remington Place Ct, Ballwin, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942000799 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 2025008484 (Missouri) | Primary |
| 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 | Global Open Wound Care Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932987864 PECOS PAC ID: 3375999386 Enrollment ID: O20231027000923 |
| Mailing Address | Practice Location Address |
|---|---|
| Rasha Issou, 15 Remington Place Ct, Ballwin, MO 63021-6369 Ph: () - | Rasha Issou, 15 Remington Place Ct, Ballwin, MO 63021-6369 Ph: (941) 222-0529 |
Dr. Mary Nancy Van Aman, DNP, RN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 816 Big Bend Woods Dr, Ballwin, MO 63021 Phone: 314-412-0898 | |
Kanitra Gerve, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 884 Woods Mill Rd Ste 201, Ballwin, MO 63011 Phone: 636-227-8226 Fax: 636-686-9194 | |
Ann Elizabeth Cribbin, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13861 Manchester Rd, Ballwin, MO 63011 Phone: 636-220-1117 | |
Brant Harber, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 639 Castle Ridge Dr, Ballwin, MO 63021 Phone: 314-210-9095 | |
Mareesha Ante Carter, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13861 Manchester Rd, Ballwin, MO 63011 Phone: 314-482-7547 | |
Ms. Christina Michelle Blaesing, MSN, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15945 Clayton Rd Ste 320, Ballwin, MO 63011 Phone: 636-256-5350 | |
Catherine Dolphin Smith, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15945 Clayton Rd Ste 120b, Ballwin, MO 63011 Phone: 636-256-5070 Fax: 636-256-5066 |