| Dr Mina K Massey, MD | |
|
26136 Us Highway 59, Fairfax, MO 64446-9105 | |
| (660) 686-2211 | |
| (660) 686-2618 |
| Full Name | Dr Mina K Massey |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 28 Years |
| Location | 26136 Us Highway 59, Fairfax, 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 |
|---|---|---|---|
| 1578557872 | NPI | - | NPPES |
| 16418 | Other | COX HEALTH | |
| 205402027 | Medicaid | MO | |
| 171942 | Other | MO | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2001022332 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Community Hospital Association | Fairfax, MO | Hospital |
| Mosaic Life Care At St Joseph | Saint joseph, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Community Hospital Association | 1557316783 | 3 |
| Entity Name | Community Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942279500 PECOS PAC ID: 1557316783 Enrollment ID: O20050321000427 |
| Entity Name | Pemiscot County Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578668661 PECOS PAC ID: 8426024159 Enrollment ID: O20070326000204 |
| Entity Name | Community Hospital Association |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1942279500 PECOS PAC ID: 1557316783 Enrollment ID: O20081126000543 |
| Entity Name | Southeast Health Center Of Stoddard County Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477997567 PECOS PAC ID: 7315192515 Enrollment ID: O20130605000128 |
| Entity Name | Mercy East Ambulatory Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134673148 PECOS PAC ID: 2365739240 Enrollment ID: O20160920002054 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mina K Massey, MD 26136 Us Highway 59, Fairfax, MO 64446-9105 Ph: (660) 686-2211 | Dr Mina K Massey, MD 26136 Us Highway 59, Fairfax, MO 64446-9105 Ph: (660) 686-2211 |