| Glennette Haney, APRN | |
|
100 Medical Drive, Alton, MO 65606-0468 | |
| (417) 778-7227 | |
| (417) 778-7727 |
| Full Name | Glennette Haney |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 22 Years |
| Location | 100 Medical Drive, Alton, 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 |
|---|---|---|---|
| 1003967951 | NPI | - | NPPES |
| 597843309 | Medicaid | MO | |
| 199440758 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 121404 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kindred At Home | Rolla, MO | Home health agency |
| Riverways Home Care Of Ozarks Medical Center | West plains, MO | Home health agency |
| Ozarks Medical Center | West plains, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ozarks Medical Center | 3870491863 | 178 |
| Entity Name | Ozarks Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831115641 PECOS PAC ID: 3870491863 Enrollment ID: O20040209001035 |
| Mailing Address | Practice Location Address |
|---|---|
| Glennette Haney, APRN Po Box 1100, West Plains, MO 65775-1100 Ph: () - | Glennette Haney, APRN 100 Medical Drive, Alton, MO 65606-0468 Ph: (417) 778-7227 |
Mary Ann Vaughn, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 Medical Drive, Alton, MO 65606 Phone: 417-778-2727 | |
Helen Kayleen King, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Medical Drive, Alton, MO 65606 Phone: 417-778-7227 |