| New Leaf Primary Care | |
|
423 N High St Belleville IL 62220-1214 | |
| (618) 806-7939 | |
| (877) 295-7244 |
| Full Name | New Leaf Primary Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 423 N High St, Belleville, Illinois |
| Authorized Official Name and Position | Crystal Stone (CEO) |
| Authorized Official Contact | 6184167738 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Leaf Primary Care 423 N High St Belleville IL 62220-1214 Ph: (618) 416-7738 | New Leaf Primary Care 423 N High St Belleville IL 62220-1214 Ph: (618) 806-7939 |
| NPI Number | 1619409075 |
|---|---|
| Provider Enumeration Date | 04/03/2017 |
| Last Update Date | 05/05/2026 |
| Certification Date | 05/05/2026 |
| Medicare PECOS PAC ID | 0547546194 |
|---|---|
| Medicare Enrollment ID | O20170413000897 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619409075 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (NU) | Primary |
| Provider Name | Crystal Lynn Stone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518328624 PECOS PAC ID: 3476851221 Enrollment ID: I20160428000047 |
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