| Mary E Booth, DNP | |
|
1 Saint Joseph Dr, Centerville, IA 52544-9017 | |
| (641) 856-8684 | |
| (641) 548-5233 |
| Full Name | Mary E Booth |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 1 Saint Joseph Dr, Centerville, Iowa |
| 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 |
|---|---|---|---|
| 1003459132 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 2019031435 (Missouri) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | A180897 (Iowa) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercyone Centerville Medical Center | Centerville, IA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Clinic Springfield Communities | 7416865845 | 989 |
| Mercy Medical Center-centerville | 9739077652 | 38 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary E Booth, DNP 1 Saint Joseph Dr, Centerville, IA 52544-9017 Ph: (641) 437-3000 | Mary E Booth, DNP 1 Saint Joseph Dr, Centerville, IA 52544-9017 Ph: (641) 856-8684 |
Lauren Anne Drake, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1208 E Cross St, Centerville, IA 52544 Phone: 319-666-4224 | |
Jacquelyn Stajcar, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 19942 Saint Joseph Dr, Centerville, IA 52544 Phone: 641-856-8684 | |
Brittany Ann Enlow, ARNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1208 E Cross St, Centerville, IA 52544 Phone: 319-591-0781 | |
Mr. Kieron James Broderick, RN, ACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1208 E Cross St, Centerville, IA 52544 Phone: 816-477-7200 | |
Reecha Reising, AGPCNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1208 E Cross St, Centerville, IA 52544 Phone: 641-255-1577 | |
Laurel Lea Eicher, RN, MSN, ACGNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1208 E Cross St, Centerville, IA 52544 Phone: 319-666-4224 Fax: 877-384-3106 |