| Mark Twain Behavioral Health | |
|
154 Forrest Dr Hannibal MO 63401-5511 | |
| (573) 221-2120 | |
| (573) 221-4380 |
| Full Name | Mark Twain Behavioral Health |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 154 Forrest Dr, Hannibal, Missouri |
| Authorized Official Name and Position | Michael Gene Cantrell (PRESIDENT & CEO) |
| Authorized Official Contact | 5736009613 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Twain Behavioral Health 154 Forrest Dr Hannibal MO 63401-5511 Ph: (573) 221-2120 | Mark Twain Behavioral Health 154 Forrest Dr Hannibal MO 63401-5511 Ph: (573) 221-2120 |
| NPI Number | 1700933363 |
|---|---|
| Provider Enumeration Date | 01/05/2007 |
| Last Update Date | 01/05/2021 |
| Certification Date | 01/05/2021 |
| Medicare PECOS PAC ID | 9436376969 |
|---|---|
| Medicare Enrollment ID | O20140807000426 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700933363 | NPI | - | NPPES |
| 562473504 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Andrew Lovy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013917525 PECOS PAC ID: 6103710678 Enrollment ID: I20040217001140 |
| Provider Name | Carolyn K Greening |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1508885187 PECOS PAC ID: 7012902372 Enrollment ID: I20040416000383 |
| Provider Name | Angela M Caraway |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376682534 PECOS PAC ID: 5092787432 Enrollment ID: I20040806001119 |
| Provider Name | Janet K Hultgren |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841326469 PECOS PAC ID: 4082782610 Enrollment ID: I20081008000657 |
| Provider Name | Tracy Delon Dunlap |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013946581 PECOS PAC ID: 5294733291 Enrollment ID: I20081218000573 |
| Provider Name | Ricky Mofsen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306921812 PECOS PAC ID: 6002959442 Enrollment ID: I20100206000233 |
| Provider Name | James J Staudenmeier |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174514657 PECOS PAC ID: 6204070402 Enrollment ID: I20130909000748 |
| Provider Name | Kristine M Whitehead |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891003992 PECOS PAC ID: 6901034867 Enrollment ID: I20140122001939 |
| Provider Name | David E Goldman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881715043 PECOS PAC ID: 5698086783 Enrollment ID: I20150616001423 |
| Provider Name | Theodore J Oliver |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508905498 PECOS PAC ID: 6002127123 Enrollment ID: I20150616002210 |
| Provider Name | Reghnald A Westhoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023153863 PECOS PAC ID: 0446346423 Enrollment ID: I20150617000067 |
| Provider Name | Darlene N Salmons |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164560132 PECOS PAC ID: 5294047585 Enrollment ID: I20150629002406 |
| Provider Name | Geoffrey M Westhoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245608553 PECOS PAC ID: 4789992371 Enrollment ID: I20151001000217 |
| Provider Name | Christine Snelling |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225551922 PECOS PAC ID: 6103182142 Enrollment ID: I20171108001622 |
| Provider Name | Jeanne Foma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417366063 PECOS PAC ID: 1850512898 Enrollment ID: I20180122000079 |
| Provider Name | Jessica L Lang |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720437130 PECOS PAC ID: 5294075511 Enrollment ID: I20190325001670 |
| Provider Name | Jessica Hunolt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851612295 PECOS PAC ID: 3072849744 Enrollment ID: I20190802000055 |
| Provider Name | Tracy Francis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073022844 PECOS PAC ID: 5991037863 Enrollment ID: I20191025000231 |
| Provider Name | Christina Plenge |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285812941 PECOS PAC ID: 2264861905 Enrollment ID: I20200401002312 |
| Provider Name | Aaron M Mofsen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851773774 PECOS PAC ID: 4981918174 Enrollment ID: I20201105002384 |
| Provider Name | Jerry Best |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346722600 PECOS PAC ID: 7719399112 Enrollment ID: I20201208002825 |
| Provider Name | Vanessa Whitaker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710548136 PECOS PAC ID: 3779986187 Enrollment ID: I20210722002962 |
| Provider Name | Christine Stevens |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952054801 PECOS PAC ID: 8820475981 Enrollment ID: I20220512000121 |
| Provider Name | Holly Rivera |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285373878 PECOS PAC ID: 2466834940 Enrollment ID: I20220729002782 |
| Provider Name | Shelly Flachs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114288404 PECOS PAC ID: 0749401149 Enrollment ID: I20221014000409 |
| Provider Name | Elizabeth D Crane |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891353538 PECOS PAC ID: 8921474487 Enrollment ID: I20221025001239 |
| Provider Name | Whitney Calvin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518552710 PECOS PAC ID: 1456717925 Enrollment ID: I20230525002780 |
| Provider Name | Jennifer Lawzano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922792241 PECOS PAC ID: 8729449640 Enrollment ID: I20230725002141 |
Clarity Healthcare Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 141 Communication Dr, Hannibal, MO 63401 Phone: 537-795-7342 Fax: 573-248-3080 | |
Healing Hearts Family Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 108 N 3rd St Ste 203, Hannibal, MO 63401 Phone: -- | |
Mark Twain Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 154 Forrest Dr, Hannibal, MO 63401 Phone: 573-221-2120 Fax: 573-221-4380 | |
Preferred Family Healthcare Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4355 Paris Gravel Rd, Hannibal, MO 63401 Phone: 573-248-3811 Fax: 573-248-3080 | |
Preferred Family Health Care, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 653 Clinic Rd, Hannibal, MO 63401 Phone: 573-603-1460 | |
Mark Twain Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 154 Forrest Dr, Hannibal, MO 63401 Phone: 573-221-2120 Fax: 573-221-4380 | |
Hannibal Regional Medical Group Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3145 Highway 61, Suite A, Hannibal, MO 63401 Phone: 573-629-3370 Fax: 573-406-5750 |