Amanda Hansen (NPI# 1528503695, PAC ID# 9537441779) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1528503695 |
| PAC ID by PECOS | 9537441779 |
| Professional Enrollment ID | I20170123001703 |
| Full Name | Amanda Hansen |
| Organization Legal Name | MERCY CLINIC ONCOLOGY LLC |
| Address |
1350 Us Hwy 61 Festus MO 63028-4124 |
| Phone Number | 6369313655 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1153446471 |
| Number of Group Practice Members | 19 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260077 | ST ANTHONY'S MEDICAL CENTER |
| 260023 | MERCY HOSPITAL JEFFERSON |
| 260020 | MERCY HOSPITAL ST LOUIS |
| Address | Phone | Organization |
|---|---|---|
| 1350 Us Hwy 61, Festus, MO 63028-4124 | 6369313655 | MERCY CLINIC ONCOLOGY LLC |
| 10012 Kennerly Rd, Suite 102, Saint Louis, MO 63128-2197 | 3148496066 | ST ANTHONY'S PHYSICIAN ORGANIZATION |
| 607 S New Ballas Rd, 3300 Mercy Clinic Cancer Care, St Louis, MO 63141-8219 | 3142514400 | MERCY CLINIC ONCOLOGY LLC |
| Organization Legal Name | MERCY CLINIC ONCOLOGY LLC |
| Physicians | 19 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John W Finnie | Hematology/oncology | Mercy Clinic Oncology LLC | 901 Patients 1st Dr, Washington, MO 63090-4700 |
| Heide A Rodgers | Hematology/oncology | Mercy Clinic Oncology LLC | 607 S New Ballas Rd, 3300 Mercy Clinic Cancer Care, St Louis, MO 63141-8219 |
| Kayla S Fahle | Physician Assistant | Mercy Clinic Oncology LLC | 901 Patients 1st Dr, Washington, MO 63090-4700 |
| Jennifer S Kloth | Nurse Practitioner | Mercy Clinic Oncology LLC | 901 Patients 1st Dr, Washington, MO 63090-4700 |
| Kavitha V Kosuri | Internal Medicine | Mercy Clinic Oncology LLC | 607 S New Ballas Rd, 3300 Mercy Clinic Cancer Care, St Louis, MO 63141-8219 |
| Craig Stephen Siegel | Internal Medicine | Mercy Clinic Oncology LLC | 620 Maple Valley Dr, Farmington, MO 63640-1976 |
| Michele Nobs | Nurse Practitioner | Mercy Clinic Oncology LLC | 901 Patients 1st Dr, Washington, MO 63090-4700 |
| Muhammad Mirza | Medical Oncology | Mercy Clinic Oncology LLC | 901 Patients 1st Dr, Washington, MO 63090-4700 |
| Christopher N Hueser | Medical Oncology | Mercy Clinic Oncology LLC | 901 Patients 1st Dr, Washington, MO 63090-4700 |
| Laura Hooper | Nurse Practitioner | Mercy Clinic Oncology LLC | 15945 Clayton Rd, Suite 120, Ballwin, MO 63011-2490 |
| Street Address |
1350 US HWY 61 |
| City | FESTUS |
| State | MO |
| Zip | 63028-4124 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Raghavarao V V B Gadi | Hematology/oncology | Mercy Clinic Oncology LLC | 1350 Us Hwy 61, Festus, MO 63028-4124 |
| Natalie Marie Crandall | Nurse Practitioner | Mercy Clinic Oncology LLC | 1350 Us Hwy 61, Festus, MO 63028-4124 |
| Sarah Buechting | Nurse Practitioner | Mercy Clinic Palliative Care LLC | 1350 Us Hwy 61, Festus, MO 63028-4124 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah L Jensen | Dermatology | 1463 Hwy 61 B, Festus, MO 63028 | |
| Chandra B Dommaraju | Infectious Disease | 1400 Hwy 61 240b, Festus, MO 63028 | |
| Robert J Evens | Emergency Medicine | Southeastern Emergency Physicians of Memphis LLC | 1400 Hwy 61 S, Festus, MO 63028 |
| Paul H Wang | Psychologist, Clinical | 1400 Hwy 61 S, Festus, MO 63028 | |
| Kevin T Baumgartner | Emergency Medicine | Southeastern Emergency Physicians of Memphis LLC | 1400 Hwy 61 S, Festus, MO 63028 |
| Phillip J Ward | Physical Therapy | Central Missouri Physical Therapy LLC | 1405 N Truman Blvd, Festus, MO 63028-1177 |
| Ashley P Schwendeman | Physical Therapy | Central Missouri Physical Therapy LLC | 1405 N Truman Blvd, Festus, MO 63028-1177 |
| Mindy Kay Wortmann | Nurse Practitioner | Interventional Pain Institute, LLC | 1405 N Truman Blvd, Festus, MO 63028-1177 |
| Steven A Harvey | Psychiatry | 23 N 6th St, My Place Residential Facility, Festus, MO 63028-1301 | |
| William W Clendenin | Psychiatry | 705 Moore St, Festus, MO 63028-1339 | |
| Find all physicians in zip 63028 | |||
| City | FESTUS |
| Zip Code | 63028 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | FESTUS + NURSE PRACTITIONER |
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| 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.