Carol Yacula (NPI# 1336691815, PAC ID# 4688957087) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1336691815 |
| PAC ID by PECOS | 4688957087 |
| Professional Enrollment ID | I20170209000953 |
| Full Name | Carol Yacula |
| Organization Legal Name | SSM MEDICAL GROUP INC |
| Address |
1011 Bowles Ave Suite G50 Fenton MO 63026-0562 |
| Phone Number | 6364964600 |
| Gender | F |
| Graduation Year | 2013 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6608776299 |
| Number of Group Practice Members | 498 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260104 | SSM DEPAUL HEALTH CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1011 Bowles Ave, Suite G50, Fenton, MO 63026-0562 | 6364964600 | SSM MEDICAL GROUP INC |
| Organization Legal Name | SSM MEDICAL GROUP INC |
| Physicians | 497 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jodi R Lutz | Nurse Practitioner | Ssm Medical Group Inc | 1650 Washington Ave, Alton, IL 62002-3931 |
| Anne Marie Maestas | Podiatry | Ssm Medical Group Inc | 400 1st Capitol Dr, Suite 301, Saint Charles, MO 63301-2883 |
| Alina V Adams | Nurse Practitioner | Ssm Medical Group Inc | 3555 Sunset Office Dr, Suite C100, Saint Louis, MO 63127-1014 |
| Jared Henrichs | Family Medicine | Ssm Medical Group Inc | 8670 A Big Bend Blvd, Saint Louis, MO 63119-3839 |
| Jamie L Partin | Nurse Practitioner | Ssm Medical Group Inc | 16105 Manchester Rd, Ellisville, MO 63011-2001 |
| Tyla A Johnson | Nurse Practitioner | Ssm Medical Group Inc | 190 N Florissant Rd, Ferguson, MO 63135-1942 |
| Ashfaq Ullah | Pulmonary Disease | Ssm Medical Group Inc | 12255 De Paul Dr, Suite 500, Bridgeton, MO 63044-2515 |
| Katherine E Galliers | Nurse Practitioner | Ssm Medical Group Inc | 8571 Watson Rd, Webster Groves, MO 63119-5218 |
| Kaci Briann Hale | Nurse Practitioner | Ssm Medical Group Inc | 1001 Bowles Ave, Fenton, MO 63026-2338 |
| Tuyche D Sang | Internal Medicine | Ssm Medical Group Inc | 30 Ronnies Plz, Saint Louis, MO 63126-3552 |
| Street Address |
1011 BOWLES AVE SUITE G50 |
| City | FENTON |
| State | MO |
| Zip | 63026-0562 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Susan J Davis | Family Medicine | Ssm Medical Group Inc | 1011 Bowles Ave, Suite 300, Fenton, MO 63026-2387 |
| Lawrence V Boveri | Obstetrics/gynecology | County Obstetrics and Gynecology, Inc | 1011 Bowles Ave, Suite 215, Fenton, MO 63026-2387 |
| Eddy Chung-chiang Hsueh | General Surgery | St Louis University | 1011 Bowles Ave, Suite 425, Fenton, MO 63026-2384 |
| Sean B Bailey | Otolaryngology | Sound Health Services PC | 1011 Bowles Ave, Suite 405, Fenton, MO 63026-2387 |
| Richard B Whiting | Internal Medicine | Ssm Medical Group Inc | 1011 Bowles Ave, Fenton, MO 63026-2387 |
| Sarah J Ludlow | Family Medicine | Ssm Medical Group Inc | 1011 Bowles Ave, Suite 300, Fenton, MO 63026-2387 |
| Stephanie Becker Koepke | Hematology/oncology | Ssm Medical Group Inc | 1011 Bowles Ave, Suite G50, Fenton, MO 63026-0562 |
| Anastasia A Averbukh | Nurse Practitioner | St Louis Dermatology LLC | 1011 Bowles Ave, Suite 121, Fenton, MO 63026-2387 |
| Naomi Sharon | Nurse Practitioner | Ssm Medical Group Inc | 1011 Bowles Ave, Suite G50, Fenton, MO 63026-0562 |
| Elizabeth Anne Rancour | Dermatology | St Louis Dermatology LLC | 1011 Bowles Ave, Suite 121, Fenton, MO 63026-2387 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David E Morris | Radiation Oncology | Ssm Medical Group Inc | 1011 Bowles Ave, Suite G50, Fenton, MO 63026-0562 |
| Janelle Roethemeyer | Internal Medicine | American Multispecialty Group Inc | 1011 Bowles Ave, Suite 450, Fenton, MO 63026-0562 |
| Sri D Kolli | Internal Medicine | American Multispecialty Group Inc | 1011 Bowles Ave, Suite 450, Fenton, MO 63026-0562 |
| Katherine C Schoo | Nurse Practitioner | Mercy Clinic East Communities | 1375 N Hwy Dr, Mercy Clinic At Work Maritz, Fenton, MO 63026-1929 |
| Matthew J Tiefenbrunn | Family Medicine | Mercy Clinic East Communities | 1375 N Hwy Dr, Mercy Clinic At Work Maritz, Fenton, MO 63026-1929 |
| Evelyn Barton | Physical Therapy | 1700 B Gilsinn Ln, Fenton, MO 63026-2004 | |
| Adeluola G Lipede | Thoracic Surgery | 960s Hwy Dr, Fenton, MO 63026-2023 | |
| Hari T Srihari | Cardiovascular Disease (cardiology) | Ssm Medical Group Inc | 1055 Bowles Ave, Suite 200, Fenton, MO 63026-2308 |
| Chad C Shelton | Interventional Pain Management | Pro Pain LLC | 1055 Bowles Ave, Suite 202, Fenton, MO 63026-2308 |
| Bassam Malo | Neurology | Ssm Medical Group Inc | 1055 Bowles Ave, Suite 200, Fenton, MO 63026-2308 |
| Find all physicians in zip 63026 | |||
| City | FENTON |
| Zip Code | 63026 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | FENTON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Carol Yacula.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.