| Mr Cephas Paniamogan, FNP-C | |
|
3202 Miller St, Bethany, MO 64424-2713 | |
| (660) 425-3154 | |
| Not Available |
| Full Name | Mr Cephas Paniamogan |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 15 Years |
| Location | 3202 Miller St, Bethany, 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 |
|---|---|---|---|
| 1053601716 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 2011007027 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Harrison County Community Hospital | Bethany, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Harrison County Community Hospital District | 4587630926 | 11 |
| Entity Name | Harrison County Community Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154645745 PECOS PAC ID: 4587630926 Enrollment ID: O20040907001047 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Cephas Paniamogan, FNP-C 16027 Locust St, Apt 5, Eagleville, MO 64442-7130 Ph: (660) 867-5111 | Mr Cephas Paniamogan, FNP-C 3202 Miller St, Bethany, MO 64424-2713 Ph: (660) 425-3154 |
Kelly Ann Clark, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3202 Miller St, Bethany, MO 64424 Phone: 660-425-3154 Fax: 660-425-6663 | |
Mr. Travis James Brown, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2600 Miller St, Bethany, MO 64424 Phone: 660-425-2211 | |
Amy B Harris, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3202 Miller St, Bethany, MO 64424 Phone: 660-425-3154 Fax: 660-425-6663 | |
Ashley Harding, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3202 Miller St, Bethany, MO 64424 Phone: 660-425-3154 Fax: 660-425-6663 | |
Madeline Grace Schulte, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3202 Miller St, Bethany, MO 64424 Phone: 660-425-3154 |