| Ms Vanessa D Pratt, FNP | |
|
1000 Eleven S Ste 1a, Columbia, IL 62236-1078 | |
| (618) 470-6020 | |
| (618) 470-6021 |
| Full Name | Ms Vanessa D Pratt |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 24 Years |
| Location | 1000 Eleven S Ste 1a, Columbia, Illinois |
| 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 |
|---|---|---|---|
| 1164462172 | NPI | - | NPPES |
| 425804838 | Medicaid | MO |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fairview Heights Medical Group Sc | 6800784083 | 386 |
| 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 |
|---|---|
| Ms Vanessa D Pratt, FNP Po Box 959203, Saint Louis, MO 63195-2106 Ph: (618) 470-6020 | Ms Vanessa D Pratt, FNP 1000 Eleven S Ste 1a, Columbia, IL 62236-1078 Ph: (618) 470-6020 |
Kristen Nicole Massey, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 Admiral Trost Rd Ste 1a, Columbia, IL 62236 Phone: 618-281-7373 | |
Frances Karnuth, DNP APRN FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1000 Eleven S Ste 4a, Columbia, IL 62236 Phone: 618-206-6120 | |
Mrs. Suan Marie Rachels, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 220 Wenkel St, Columbia, IL 62236 Phone: 618-444-5455 | |
Malissa Miller, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 107 N Main St Ste 2a, Columbia, IL 62236 Phone: 618-693-9313 | |
Adriana Juanita Corwin, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1000 Eleven S, Columbia, IL 62236 Phone: 618-281-7010 | |
Mrs. Tina Louise Valentine, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 421 S Main St, Columbia, IL 62236 Phone: 618-281-7151 |