| Kirksville Clinic Corp | |
|
1607 S Baltimore St Kirksville MO 63501-4536 | |
| (660) 627-3363 | |
| (660) 785-1927 |
| Full Name | Kirksville Clinic Corp |
|---|---|
| Speciality | Family Medicine |
| Location | 1607 S Baltimore St, Kirksville, Missouri |
| Authorized Official Name and Position | Brian A Peoples (VICE PRESIDENT) |
| Authorized Official Contact | 6154657585 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kirksville Clinic Corp Po Box 689022 Franklin TN 37068-9022 Ph: (615) 465-8575 | Kirksville Clinic Corp 1607 S Baltimore St Kirksville MO 63501-4536 Ph: (660) 627-3363 |
| NPI Number | 1538155817 |
|---|---|
| Provider Enumeration Date | 09/22/2005 |
| Last Update Date | 06/27/2012 |
| Medicare PECOS PAC ID | 4486619269 |
|---|---|
| Medicare Enrollment ID | O20041122000018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538155817 | NPI | - | NPPES |
| 191271 | Other | MO | BCBS |
| 1538155817 | Medicaid | IA | |
| 507437101 | Medicaid | MO |
| Provider Name | Kevin M Marberry |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1417995523 PECOS PAC ID: 8325007289 Enrollment ID: I20041006000814 |
| Provider Name | Stanley A Sakabu |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1669529657 PECOS PAC ID: 7012975717 Enrollment ID: I20041228000754 |
| Provider Name | John M Deleeuw |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770590846 PECOS PAC ID: 6507969599 Enrollment ID: I20070313000007 |
| Provider Name | Larry R Handlin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1437144375 PECOS PAC ID: 1254344740 Enrollment ID: I20090902000727 |
| Provider Name | Kareem Husain |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1912025974 PECOS PAC ID: 5496889180 Enrollment ID: I20100817000776 |
| Provider Name | Iqbal Khan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003967977 PECOS PAC ID: 3476640848 Enrollment ID: I20101220000366 |
| Provider Name | James H Adams |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558305052 PECOS PAC ID: 7911086392 Enrollment ID: I20110712000682 |
| Provider Name | David Vincent Spencer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154820157 PECOS PAC ID: 1052673472 Enrollment ID: I20180724002212 |
| Provider Name | Dalton Dean Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326552191 PECOS PAC ID: 7517218381 Enrollment ID: I20180918004401 |
| Provider Name | Steven Lyons |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083979074 PECOS PAC ID: 4688926348 Enrollment ID: I20181008000526 |
| Provider Name | Jessica Kile Caine |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1073703542 PECOS PAC ID: 7113225921 Enrollment ID: I20190702000098 |
| Provider Name | David Sexton Lewis |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1003096116 PECOS PAC ID: 0446557037 Enrollment ID: I20221103000253 |
| Provider Name | Jacqueline Elise Kirkpatrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831969526 PECOS PAC ID: 1456796903 Enrollment ID: I20240223003785 |
Preferred Family Healthcare, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 900 E Laharpe St, Kirksville, MO 63501 Phone: 660-665-1962 Fax: 660-665-3989 | |
Preferred Family Healthcare, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 900 E Laharpe St, Kirksville, MO 63501 Phone: 660-665-1962 Fax: 660-665-3989 | |
Northeast Missouri Health Council, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 Pfeiffer Ave, Kirksville, MO 63501 Phone: 660-627-3621 Fax: 660-627-5798 | |
Preferred Family Healthcare, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1101 Jamison St, Kirksville, MO 63501 Phone: 660-665-1962 Fax: 660-627-0642 | |
Northeast Missouri Health Council, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1416 Crown Drive, Kirksville, MO 63501 Phone: 660-627-5757 Fax: 660-627-5802 | |
Preferred Family Healthcare Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 900 E Laharpe St, Kirksville, MO 63501 Phone: 660-665-1962 Fax: 660-665-3989 | |
Second Judicial Circuit Of Missouri Dba Bnjjc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1400 S Boundary St, Kirksville, MO 63501 Phone: 660-665-4224 Fax: 660-665-2968 |