| Jerry W Dorris, FNP-C | |
|
118 W Dallas St, Buffalo, MO 65622-8669 | |
| (417) 345-6101 | |
| (417) 829-4316 |
| Full Name | Jerry W Dorris |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 20 Years |
| Location | 118 W Dallas St, Buffalo, Missouri |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386744811 | NPI | - | NPPES |
| 421151309 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 148324 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Hospital Springfield | Springfield, MO | Hospital |
| Mercy Hospital Lebanon | Lebanon, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Clinic Springfield Communities | 7416865845 | 989 |
| Entity Name | Mercy Clinic Springfield Communities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245277631 PECOS PAC ID: 7416865845 Enrollment ID: O20031104000060 |
| Entity Name | Mercy Clinic Springfield Communities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972771657 PECOS PAC ID: 7416865845 Enrollment ID: O20031218000354 |
| Entity Name | Springfield Family Medical Walk-in Clinics Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861462111 PECOS PAC ID: 2365339405 Enrollment ID: O20040302001424 |
| Mailing Address | Practice Location Address |
|---|---|
| Jerry W Dorris, FNP-C 118 W Dallas St, Buffalo, MO 65622-8669 Ph: (417) 345-6101 | Jerry W Dorris, FNP-C 118 W Dallas St, Buffalo, MO 65622-8669 Ph: (417) 345-6101 |
Linzi Smith, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 201 S Ash St, Buffalo, MO 65622 Phone: 417-345-6100 | |
Linda K. Diamond, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 118 W Dallas St, Buffalo, MO 65622 Phone: 417-345-6101 Fax: 417-345-6913 | |
Heidi R Andress, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 631 W Main St, Buffalo, MO 65622 Phone: 417-345-5422 | |
Ronald David Hunziger, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 201 S Ash St, Buffalo, MO 65622 Phone: 417-345-6100 | |
Alicia M Zacher, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 118 W Dallas St, Buffalo, MO 65622 Phone: 417-345-6101 | |
Ms. Toni R Mcginnis, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 119 N Ash St, Buffalo, MO 65622 Phone: 417-269-2200 Fax: 417-269-2202 |