| Dr Jessica Renee King, MD | |
|
1905 W 19th St, Mountain Grove, MO 65711-1287 | |
| (417) 926-1770 | |
| (417) 926-1785 |
| Full Name | Dr Jessica Renee King |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 18 Years |
| Location | 1905 W 19th St, Mountain Grove, Missouri |
| 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 |
|---|---|---|---|
| 1649434200 | NPI | - | NPPES |
| 26D2006074 | Other | MO | CLIA |
| 504114802 | Medicaid | MO | |
| 26D0889777 | Other | MO | CLIA |
| 1649434200 | Medicaid | MO | |
| 594438806 | Medicaid | MO | |
| 507780302 | Medicaid | MO | |
| 204253207 | Medicaid | MO | |
| 597780303 | Medicaid | MO | |
| P01296849 | Other | MO | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2008017836 (Missouri) | Secondary |
| 207Q00000X | Family Medicine | 2009020461 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Texas County Memorial Hospital | Houston, MO | Hospital |
| Mercy Hospital Springfield | Springfield, MO | Hospital |
| Mercy St Francis Hospital | Mountain view, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Clinic Springfield Communities | 7416865845 | 989 |
| Dent County Health Center | 9234301094 | 2 |
| Entity Name | Mercy Clinic Springfield Communities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245277631 PECOS PAC ID: 7416865845 Enrollment ID: O20031104000060 |
| Entity Name | Mercy Clinic Springfield Communities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972771657 PECOS PAC ID: 7416865845 Enrollment ID: O20031218000354 |
| Entity Name | Texas County Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306885587 PECOS PAC ID: 9436041696 Enrollment ID: O20040325000339 |
| Entity Name | Texas County Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235178930 PECOS PAC ID: 9436041696 Enrollment ID: O20041020000359 |
| Entity Name | Texas County Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285957001 PECOS PAC ID: 9436041696 Enrollment ID: O20100813000720 |
| Entity Name | Dent County Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598932733 PECOS PAC ID: 9234301094 Enrollment ID: O20220614002505 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jessica Renee King, MD 1905 W 19th St, Mountain Grove, MO 65711-1287 Ph: (417) 926-1770 | Dr Jessica Renee King, MD 1905 W 19th St, Mountain Grove, MO 65711-1287 Ph: (417) 926-1770 |
Dr. Matthew Austin Brown, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9100 13th Rd, Mountain Grove, MO 65711 Phone: 417-260-4150 | |
Mr. Stanley J Crown, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1905 W 19th St, Mountain Grove, MO 65711 Phone: 417-926-1770 Fax: 417-926-1785 | |
Samuel Aaron Newton, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 E 19th St, Mountain Grove, MO 65711 Phone: 417-926-6563 Fax: 417-926-5820 | |
Dr. Robin Coffey, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 120 W 16th St, Mountain Grove, MO 65711 Phone: 417-926-6111 | |
Dr. Jennifer L Lambert, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 E 19th St, Mountain Grove, MO 65711 Phone: 417-926-6563 Fax: 417-926-5820 | |
Dr. Nancy J. Hayes, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 120 W 16th St, Mountain Grove, MO 65711 Phone: 417-926-6111 Fax: 417-926-6115 | |
Dr. Elton W. Hoerning, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1905 W 19th St, Mountain Grove, MO 65711 Phone: 417-926-1770 Fax: 417-926-1785 |