| Jody Beth Spain, APRN, FNP-BC | |
|
2879 James Blvd, Poplar Bluff, MO 63901-3395 | |
| (573) 609-8800 | |
| (573) 776-6124 |
| Full Name | Jody Beth Spain |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 16 Years |
| Location | 2879 James Blvd, Poplar Bluff, 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 |
|---|---|---|---|
| 1427364744 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 2010028801 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Poplar Bluff Regional Medical Center | Poplar bluff, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Big Springs Medical Association | 6709871007 | 50 |
| Entity Name | Big Springs Medical Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225045321 PECOS PAC ID: 6709871007 Enrollment ID: O20040416000695 |
| Entity Name | Dermatology Office Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043462591 PECOS PAC ID: 0244392009 Enrollment ID: O20090105000113 |
| Entity Name | Elite Obstetrics And Gynecology Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538915210 PECOS PAC ID: 5193264315 Enrollment ID: O20240830002897 |
| Mailing Address | Practice Location Address |
|---|---|
| Jody Beth Spain, APRN, FNP-BC 110 S 2nd St, Ellington, MO 63638-9400 Ph: (573) 663-2313 | Jody Beth Spain, APRN, FNP-BC 2879 James Blvd, Poplar Bluff, MO 63901-3395 Ph: (573) 609-8800 |
Jamie Lynn Morse, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2588 N Westwood Blvd, Poplar Bluff, MO 63901 Phone: 573-778-1277 Fax: 573-778-1299 | |
Alicia Marie Cisne, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 225 Physicians Park Ste 400, Poplar Bluff, MO 63901 Phone: 573-727-5500 Fax: 573-727-5599 | |
Jessica Nicole Mccain, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2620 N Westwood Blvd, Poplar Bluff, MO 63901 Phone: 573-776-2835 Fax: 573-776-2763 | |
Wanda R Shewmon, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2210 Barron Rd, Poplar Bluff, MO 63901 Phone: 573-686-4133 Fax: 573-686-1315 | |
Ms. Jolene M Wolf, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1500 N Westwood Blvd, Poplar Bluff, MO 63901 Phone: 573-686-4151 | |
Rebecca Compton, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 225 Physicians Park Ste 102, Poplar Bluff, MO 63901 Phone: 573-727-5500 Fax: 573-413-4609 | |
Shelly Y Gresham, RNC-FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2480 Three Rivers Blvd, Poplar Bluff, MO 63901 Phone: 573-686-5564 Fax: 573-686-2838 |