| Mr Raymond Earl Sisk, | |
|
102 Hospitality Dr, Sikeston, MO 63801-9382 | |
| (573) 471-0200 | |
| (573) 471-7559 |
| Full Name | Mr Raymond Earl Sisk |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 18 Years |
| Location | 102 Hospitality Dr, Sikeston, 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 |
|---|---|---|---|
| 1699067645 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2100X | Nurse Practitioner - Acute Care | 2011007020 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Missouri Delta Medical Center | Sikeston, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Missouri Delta Medical Center | 1355252891 | 128 |
| Entity Name | Missouri Delta Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508967860 PECOS PAC ID: 1355252891 Enrollment ID: O20040308001306 |
| Entity Name | Sikeston Emergency Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427575299 PECOS PAC ID: 6305112814 Enrollment ID: O20171030000375 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Raymond Earl Sisk, 1008 N Main St, Sikeston, MO 63801-5044 Ph: (573) 471-0200 | Mr Raymond Earl Sisk, 102 Hospitality Dr, Sikeston, MO 63801-9382 Ph: (573) 471-0200 |
Brittany Lynn Delaughter, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1012 N Main St, Sikeston, MO 63801 Phone: 573-471-0330 Fax: 573-471-0461 | |
Erica Leigh Wilson, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1008 N Main St, Sikeston, MO 63801 Phone: 573-472-7275 | |
Brittney Joy Dirnberger, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 135 Plaza Dr Ste 102, Sikeston, MO 63801 Phone: 573-472-6010 Fax: 573-472-6009 | |
Danielle E Jansen, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 200 Southland Dr, Sikeston, MO 63801 Phone: 573-472-1770 Fax: 573-472-1560 | |
Lauren Ashley Bissonnette, RN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1012 N Main St, Sikeston, MO 63801 Phone: 573-481-5017 | |
Kelly Ann Jackson, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1012 N Main St, Sikeston, MO 63801 Phone: 573-471-0330 Fax: 573-471-0461 | |
Margaret Rachel Coppage, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1008 N Main St, Sikeston, MO 63801 Phone: 573-472-6001 Fax: 573-472-6006 |