| Mr Craig Brian Eden, FNP-BC | |
|
474 Hudson Ave, Republic, MO 65738-2136 | |
| (417) 619-1128 | |
| Not Available |
| Full Name | Mr Craig Brian Eden |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 474 Hudson Ave, Republic, 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 |
|---|---|---|---|
| 1285361048 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 2022030126 (Missouri) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Family Walk In Clinic Of Mountain Grove Inc | 1052229622 | 2 |
| 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 |
|---|---|
| Mr Craig Brian Eden, FNP-BC 474 Hudson Ave, Republic, MO 65738-2136 Ph: () - | Mr Craig Brian Eden, FNP-BC 474 Hudson Ave, Republic, MO 65738-2136 Ph: (417) 619-1128 |
Sharon Igou, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 820 S Illinois Ave, Republic, MO 65738 Phone: 417-269-1910 Fax: 417-269-1916 | |
Erin Elizabeth Casey, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 332 S Main Ave, Republic, MO 65738 Phone: 417-732-5050 | |
Mrs. Amy Sue Ridenour, MSN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 429 N Douglas Dr, Republic, MO 65738 Phone: 417-350-9327 | |
Mary M. Burch, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1150 Us Highway 60 E, Republic, MO 65738 Phone: 417-732-2255 Fax: 417-732-2166 | |
Kathryn A. Herfkens-ampleman, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 332 S Main Ave, Republic, MO 65738 Phone: 417-732-5050 Fax: 417-732-8061 | |
Ms. Elizabeth A. Mullings, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1150 Us Highway 60 East, Republic, MO 65738 Phone: 417-732-2255 Fax: 417-732-2166 |