| Kelsey Damico, | |
|
1 Halz Plaza, Piedmont, MO 63957-6395 | |
| (573) 223-4800 | |
| Not Available |
| Full Name | Kelsey Damico |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1 Halz Plaza, Piedmont, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972236768 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 2022026307 (Missouri) | Primary |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelsey Damico, 1 Halz Plaza, Piedmont, MO 63957 Ph: (573) 223-4800 | Kelsey Damico, 1 Halz Plaza, Piedmont, MO 63957-6395 Ph: (573) 223-4800 |
Clayton Joe Carson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 420 Piedmont Ave, Piedmont, MO 63957 Phone: 573-223-4233 | |
Melissa Kaye Warmack, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Hals Plaza, Piedmont, MO 63957 Phone: 573-944-4088 | |
Randi Stechschulte, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Hals Plz Ste A, Piedmont, MO 63957 Phone: 573-223-4800 | |
Tina R Mccorkell, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 420 Piedmont Ave, Piedmont, MO 63957 Phone: 573-223-4233 Fax: 573-223-2136 | |
Abigail Louise Breite, DNP, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 420 Piedmont Ave, Piedmont, MO 63957 Phone: 573-223-4233 Fax: 573-223-2136 | |
Kimberly A Haley, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 420 Piedmont Ave, Piedmont, MO 63957 Phone: 573-223-4233 Fax: 573-223-2136 |