| Stacy Davis Baur, NP | |
|
4700 Memorial Dr Ste 350, Belleville, IL 62226-5373 | |
| (618) 235-7065 | |
| (618) 212-6677 |
| Full Name | Stacy Davis Baur |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 4700 Memorial Dr Ste 350, Belleville, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962232215 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 209030350 (Illinois) | Primary |
| Entity Name | Fairview Heights Medical Group Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679503668 PECOS PAC ID: 6800784083 Enrollment ID: O20040309000650 |
| Mailing Address | Practice Location Address |
|---|---|
| Stacy Davis Baur, NP Po Box 959203, Saint Louis, MO 63195-2804 Ph: (618) 235-7065 | Stacy Davis Baur, NP 4700 Memorial Dr Ste 350, Belleville, IL 62226-5373 Ph: (618) 235-7065 |
Kelsey Beasley, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3060 Harvest Meadow Dr, Belleville, IL 62221 Phone: 618-792-8887 | |
Ms. Lauren Nicole Marshall, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4500 Memorial Dr, Belleville, IL 62226 Phone: 618-257-5455 Fax: 618-257-4490 | |
Mr. Lito T Rufin, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4500 Memorial Dr, Belleville, IL 62226 Phone: 618-257-6220 | |
Cindy L. Auld, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4600 Memorial Dr, Ste. 400, Belleville, IL 62226 Phone: 618-234-2390 Fax: 618-234-9936 | |
Pamela A O'neal, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 130 Lincoln Place Ct, Belleville, IL 62221 Phone: 618-257-2029 Fax: 618-235-5371 | |
Mrs. Deanna L. Rodenberg, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4550 Memorial Dr, Ste. 340, Belleville, IL 62226 Phone: 618-257-6200 Fax: 618-257-6679 | |
Mrs. Michelle Veronica Jacob, AGNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4500 Memorial Dr, Dept Anesthesiology, Belleville, IL 62226 Phone: 800-862-9980 Fax: 314-362-7785 |