| Michele R Thomazin, RN, FNP-C | |
|
1317 W Broadway St, Bolivar, MO 65613-1814 | |
| (417) 326-7250 | |
| (417) 326-2766 |
| Full Name | Michele R Thomazin |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 1317 W Broadway St, Bolivar, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528158474 | NPI | - | NPPES |
| 200905 | Other | MO | BCMO |
| 427479100 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 131629 (Missouri) | Primary |
| Entity Name | Polk County Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265556849 PECOS PAC ID: 6204186513 Enrollment ID: O20180907001056 |
| Mailing Address | Practice Location Address |
|---|---|
| Michele R Thomazin, RN, FNP-C 1317 W Broadway St, Bolivar, MO 65613-1814 Ph: (417) 326-7250 | Michele R Thomazin, RN, FNP-C 1317 W Broadway St, Bolivar, MO 65613-1814 Ph: (417) 326-7250 |
Kyla Inman, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1240 N Butterfield Rd, Bolivar, MO 65613 Phone: 417-326-6021 | |
Oma L Shelton, CFNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2230 S Springfield Ave, Suite H-j, Bolivar, MO 65613 Phone: 417-777-4800 | |
Kaylee Jaynelle Ankrom, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1300 N Oakland Ave, Bolivar, MO 65613 Phone: 417-326-7676 | |
Courtney Marie Brummel, MSN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1120 S Springfield Ave, Bolivar, MO 65613 Phone: 417-326-7814 | |
Olivia Jenae Cumley, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1240 N Butterfield Rd, Bolivar, MO 65613 Phone: 417-326-6021 Fax: 417-326-6347 | |
Ms. Carol D Curless, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3817 S Springfield Ave Ste 120, Bolivar, MO 65613 Phone: 417-730-3508 | |
Karona Paschke, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1155 W Parkview St Ste 1c, Bolivar, MO 65613 Phone: 417-326-7246 |