| Dr Karl Erik Shanstrom, DO | |
|
900 State Route Vv, Kennett, MO 63857-3834 | |
| (573) 559-2365 | |
| Not Available |
| Full Name | Dr Karl Erik Shanstrom |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 900 State Route Vv, Kennett, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689815201 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2011015518 (Missouri) | Primary |
| Entity Name | Burrell, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275541740 PECOS PAC ID: 4486548625 Enrollment ID: O20040210000372 |
| Entity Name | Missouri Delta Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508967860 PECOS PAC ID: 1355252891 Enrollment ID: O20040308001306 |
| Entity Name | Preferred Family Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649474206 PECOS PAC ID: 0244256246 Enrollment ID: O20051019000599 |
| Entity Name | Fcc Medical Clinics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043885254 PECOS PAC ID: 1355743741 Enrollment ID: O20210707003258 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Karl Erik Shanstrom, DO 925 State Route Vv, Kennett, MO 63857-3822 Ph: (573) 888-5925 | Dr Karl Erik Shanstrom, DO 900 State Route Vv, Kennett, MO 63857-3834 Ph: (573) 559-2365 |
James Allen Edgington, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 901 W Commercial St, Kennett, MO 63857 Phone: 573-717-1072 | |
Jennifer R Sellman, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 1061 Jones St, Kennett, MO 63857 Phone: 573-888-0303 Fax: 573-888-0304 | |
Dr. Stefan Scheidler, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 301 South Byp, Kennett, MO 63857 Phone: 573-888-0900 Fax: 573-888-9588 | |
Valerie A Smith, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 500 Russell St, Kennett, MO 63857 Phone: 573-717-1332 Fax: 573-717-1335 |