| Michael John Munn, APRN | |
|
33 Gage Dr, Hollister, MO 65672-5862 | |
| (417) 334-8300 | |
| Not Available |
| Full Name | Michael John Munn |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 33 Gage Dr, Hollister, Missouri |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720612641 | NPI | - | NPPES |
| 420103556 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 113103 (Nebraska) | Secondary |
| 363L00000X | Nurse Practitioner | 20211036122 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baxter Regional Medical Center | Mountain home, AR | Hospital |
| Cox Medical Center Branson | Branson, MO | Hospital |
| North Arkansas Regional Medical Center | Harrison, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Baxter County Regional Hospital Inc | 0042389264 | 90 |
| North Arkansas Regional Medical Center | 5193615896 | 60 |
| Mercy Hospital Springfield | 7416867593 | 59 |
| Entity Name | North Arkansas Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801067657 PECOS PAC ID: 5193615896 Enrollment ID: O20080724000204 |
| Entity Name | Interventional Pain Management Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902231178 PECOS PAC ID: 3779718614 Enrollment ID: O20131030000550 |
| Entity Name | Baxter County Regional Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720430309 PECOS PAC ID: 0042389264 Enrollment ID: O20161201002096 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael John Munn, APRN 293 Norman Rd, Kirbyville, MO 65679-9332 Ph: () - | Michael John Munn, APRN 33 Gage Dr, Hollister, MO 65672-5862 Ph: (417) 334-8300 |
Melonie Renee Roberts, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 290 Clift Ct, Hollister, MO 65672 Phone: 417-336-4355 | |
Mrs. Lindsi R Walker, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 33 Gage Dr, Hollister, MO 65672 Phone: 417-831-0150 Fax: 580-323-2276 |