| Lindy Marie Breshears, | |
|
413 W 2nd St, Salisbury, MO 65281-1405 | |
| (660) 388-7084 | |
| (660) 388-7087 |
| Full Name | Lindy Marie Breshears |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 413 W 2nd St, Salisbury, 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 |
|---|---|---|---|
| 1538740261 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 2015035769 (Missouri) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 2021018304 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Moberly Regional Medical Center | Moberly, MO | Hospital |
| Boone Hospital Center | Columbia, MO | Hospital |
| University Of Missouri Health Care | Columbia, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Moberly Hospital Company Llc | 9436052230 | 9 |
| Entity Name | Moberly Hospital Company Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205967486 PECOS PAC ID: 9436052230 Enrollment ID: O20070517000099 |
| Mailing Address | Practice Location Address |
|---|---|
| Lindy Marie Breshears, 1515 Union Ave, Moberly, MO 65270-9407 Ph: () - | Lindy Marie Breshears, 413 W 2nd St, Salisbury, MO 65281-1405 Ph: (660) 388-7084 |
Mrs. Sandra J Clarkson, RNBC FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 307 S Broadway, Salisbury, MO 65281 Phone: 660-388-6446 | |
Amanda Jo Rogers, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 307 S Broadway, Salisbury, MO 65281 Phone: 660-388-6446 Fax: 660-388-6870 |