| Taylor Rae Park, NP | |
|
1225 Graham Rd Ste C-1340, Florissant, MO 63031-8019 | |
| (314) 953-8271 | |
| Not Available |
| Full Name | Taylor Rae Park |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 1225 Graham Rd Ste C-1340, Florissant, 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 |
|---|---|---|---|
| 1780454389 | NPI | - | NPPES |
| 209029415 | Other | IL | NP LICENSE |
| 16161910 | Other | CAQH ID |
| Facility Name | Location | Facility Type |
|---|---|---|
| Jersey Community Hospital | Jerseyville, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Physician Groups Lc | 3072421254 | 455 |
| Jersey Community Hospital | 4587650445 | 57 |
| Entity Name | Vpa Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760706337 PECOS PAC ID: 9234041948 Enrollment ID: O20100818000518 |
| Mailing Address | Practice Location Address |
|---|---|
| Taylor Rae Park, NP Po Box 959354, Saint Louis, MO 63195-9354 Ph: (314) 953-8271 | Taylor Rae Park, NP 1225 Graham Rd Ste C-1340, Florissant, MO 63031-8019 Ph: (314) 953-8271 |
Mrs. Christine Ann Testa, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1225 Graham Rd Ste C-2310, Florissant, MO 63031 Phone: 314-953-6300 Fax: 314-953-6309 | |
Ms. Laura M Gramolino, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1225 Graham Rd, Florissant, MO 63031 Phone: 314-953-6994 | |
Rachel Ann Sappington, RN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2137 Charbonier Rd Ste B, Florissant, MO 63031 Phone: 314-831-0181 Fax: 314-831-4471 | |
Maggie Lewis, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3433 N Hwy 67, Florissant, MO 63033 Phone: 314-755-1822 | |
Kimberly Ann Deptula, FNP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 500 Howdershell Rd, Florissant, MO 63031 Phone: 314-687-2727 Fax: 314-687-2672 | |
Nicole A Phillips, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2535 Dresden Dr, Florissant, MO 63033 Phone: 314-422-9454 | |
Ms. Ashley Azzure Daniel, FNP -C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14021 New Halls Ferry Rd, Florissant, MO 63033 Phone: 314-915-3089 |