Mineral Area Pain Center, P.c. - Medicare in Farmington, MO

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Mineral Area Pain Center, P.c. is a medicare enrolled "Physical Medicine & Rehabilitation" provider in Farmington, Missouri. Their current practice location is 618 Maple Valley Drive, Farmington, Missouri. You can reach out to their office (for appointments etc.) via phone at (573) 756-3400.

Mineral Area Pain Center, P.c. is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Mineral Area Pain Center, P.c. is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1417973660.

Contact Information

Mineral Area Pain Center, P.c.
618 Maple Valley Drive,
Farmington, MO 63640-1976
(573) 756-3400
(573) 756-0800

Map and Direction




Healthcare Provider's Profile

Full NameMineral Area Pain Center, P.c.
TypeFacility
SpecialityPhysical Medicine & Rehabilitation
Location618 Maple Valley Drive, Farmington, Missouri
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1417973660
  • Provider Enumeration Date: 07/14/2006
  • Last Update Date: 09/28/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 0244211605
  • Enrollment ID: O20040601000488

Medical Identifiers

Medical identifiers for Mineral Area Pain Center, P.c. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417973660NPI-NPPES
114791OtherMOBCBS MO GROUP #

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
111N00000XChiropractor (* (Not Available))Secondary
207Q00000XFamily Medicine (* (Not Available))Secondary
208100000XPhysical Medicine & Rehabilitation (* (Not Available))Primary
225100000XPhysical Therapist (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Mineral Area Pain Center, P.c. acts as a billing entity for following providers:
Provider NameXiaohui Fan
Provider TypePractitioner - Pain Management
Provider IdentifiersNPI Number: 1245276252
PECOS PAC ID: 8224936463
Enrollment ID: I20031223000848
Provider NameStephen W Orr
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1770577421
PECOS PAC ID: 0547289092
Enrollment ID: I20051116000157
Provider NameJames N Moore
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1134171531
PECOS PAC ID: 5799797932
Enrollment ID: I20060707000043
Provider NameMark M Medley
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1386703197
PECOS PAC ID: 5698827673
Enrollment ID: I20090722000508
Provider NameSteven A Zilke
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1659404119
PECOS PAC ID: 2365489200
Enrollment ID: I20101117000062
Provider NameLacey E Sullivan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174951503
PECOS PAC ID: 5395973697
Enrollment ID: I20140113001307
Provider NameRebecca N Buchanan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235527763
PECOS PAC ID: 2163749870
Enrollment ID: I20150317002377

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mineral Area Pain Center, P.c. is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mineral Area Pain Center, P.c.
608 Maple Valley Dr,
Farmington, MO 63640-1976

Ph: (573) 756-3400		Mineral Area Pain Center, P.c.
618 Maple Valley Drive,
Farmington, MO 63640-1976

Ph: (573) 756-3400

Reviews and Comments



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