| Samantha Elledge, MSN, AGPCNP | |
|
1000 E Cherry St, Troy, MO 63379-1513 | |
| (636) 528-8551 | |
| Not Available |
| Full Name | Samantha Elledge |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 1000 E Cherry St, Troy, 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 |
|---|---|---|---|
| 1285378349 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP2300X | Nurse Practitioner - Primary Care | 2021030042 (Missouri) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Hospital Lincoln | 5193040020 | 25 |
| Entity Name | Mercy Hospital Lincoln |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962808733 PECOS PAC ID: 5193040020 Enrollment ID: O20150623002541 |
| Mailing Address | Practice Location Address |
|---|---|
| Samantha Elledge, MSN, AGPCNP 1000 E Cherry St, Troy, MO 63379-1513 Ph: (636) 528-8551 | Samantha Elledge, MSN, AGPCNP 1000 E Cherry St, Troy, MO 63379-1513 Ph: (636) 528-8551 |
Sally Ann Breen, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1175 E Cherry St, Troy, MO 63379 Phone: 636-528-8686 | |
Jennifer Bryant, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1165 E Cherry St, Troy, MO 63379 Phone: 636-528-1919 | |
Mrs. Heather S Dixon, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1000 E Cherry St, Troy, MO 63379 Phone: 636-528-3495 | |
Julie Irwin, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1000 E Cherry St, Troy, MO 63379 Phone: 636-528-3221 Fax: 636-528-8392 | |
Jessica Danielle Oja Parsons, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 132 Professional Pkwy, Troy, MO 63379 Phone: 636-462-5437 | |
Malynda Christine Lane, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1000 E Cherry St, Troy, MO 63379 Phone: 636-528-3486 Fax: 636-528-3419 |