| Tara Lynn Barnes-cherry, APRN, FNP-BC | |
|
2630 State Highway K, Ofallon, MO 63368 | |
| (636) 980-5300 | |
| (636) 980-5344 |
| Full Name | Tara Lynn Barnes-cherry |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 2630 State Highway K, Ofallon, 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 |
|---|---|---|---|
| 1104424068 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 2026015754 (Missouri) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 209021143 (Illinois) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Osf Little Company Of Mary Medical Center | Evergreen park, IL | Hospital |
| Central Dupage Hospital | Winfield, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northwestern Medical Faculty Foundation | 4587576814 | 4367 |
| Osf Multi-specialty Group | 3678889789 | 2110 |
| Entity Name | Northwestern Medical Faculty Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346235314 PECOS PAC ID: 4587576814 Enrollment ID: O20031105000541 |
| Entity Name | Riverside Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417061193 PECOS PAC ID: 3274434717 Enrollment ID: O20040116000780 |
| Entity Name | Osf Multi-specialty Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
| Entity Name | Vitae Health Medical Illinois, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174013452 PECOS PAC ID: 2365798410 Enrollment ID: O20180703002838 |
| Mailing Address | Practice Location Address |
|---|---|
| Tara Lynn Barnes-cherry, APRN, FNP-BC Po Box 959354, Saint Louis, MO 63195-9354 Ph: (636) 980-5300 | Tara Lynn Barnes-cherry, APRN, FNP-BC 2630 State Highway K, Ofallon, MO 63368 Ph: (636) 980-5300 |
Lori Ann Watt, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3002 State Hwy K, Ofallon, MO 63368 Phone: 866-389-2727 | |
Mary Withoelter, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2630 State Highway K, Ofallon, MO 63368 Phone: 636-980-5300 Fax: 636-980-5344 |