| Laurell A Conder, NP-C | |
|
100 Main St, Gideon, MO 63848 | |
| (573) 448-3800 | |
| (573) 448-8909 |
| Full Name | Laurell A Conder |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 100 Main St, Gideon, 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 |
|---|---|---|---|
| 1255992897 | NPI | - | NPPES |
| 420074761 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 122452 (Arkansas) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 2019022745 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Great River Medical Center | Blytheville, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mcpherson Medical And Diagnostic Llc | 5698773539 | 82 |
| T W Wagner Inc | 1153359096 | 9 |
| Mcpherson Medical And Diagnostic Llc | 5698773539 | 82 |
| Entity Name | Mcpherson Medical & Diagnostic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003407883 PECOS PAC ID: 5698773539 Enrollment ID: O20061201000167 |
| Mailing Address | Practice Location Address |
|---|---|
| Laurell A Conder, NP-C 901 W Commercial St, Kennett, MO 63857-1100 Ph: (573) 717-1072 | Laurell A Conder, NP-C 100 Main St, Gideon, MO 63848 Ph: (573) 448-3800 |
Kerri Lynch, MSN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 N Main St, Gideon, MO 63848 Phone: 573-448-3800 Fax: 573-448-8909 | |
Melissa Lynn Marino, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 100 N Main St, Gideon, MO 63848 Phone: 870-838-7300 | |
Katherine Joseph, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 N Main St, Gideon, MO 63848 Phone: 573-448-3800 |