| Mrs Judy Pedigo, FNP | |
|
115 E Business Highway 60, Dexter, MO 63841 | |
| (573) 568-3686 | |
| Not Available |
| Full Name | Mrs Judy Pedigo |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 23 Years |
| Location | 115 E Business Highway 60, Dexter, Missouri |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902982861 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 073081 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Hospital Stoddard | Dexter, MO | Hospital |
| Mercy Hospital Southeast | Cape girardeau, MO | Hospital |
| Missouri Delta Medical Center | Sikeston, MO | Hospital |
| Saint Francis Medical Center | Cape girardeau, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dexter Hospital, Llc | 6507834579 | 16 |
| Southeast Health Center Of Stoddard County Llc | 7315192515 | 39 |
| Entity Name | Southeast Health Center of Stoddard County LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790828812 PECOS PAC ID: 7315192515 Enrollment ID: O20130605000128 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Judy Pedigo, FNP 601 S Mulberry, Dexter, MO 63841 Ph: (573) 568-3686 | Mrs Judy Pedigo, FNP 115 E Business Highway 60, Dexter, MO 63841 Ph: (573) 568-3686 |
Jessica L Miller, DNP, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 115 E Business Us Highway 60, Dexter, MO 63841 Phone: 573-335-7546 Fax: 573-335-7550 |
Mr. Bradford Joseph Davis, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 808 Speciality Dr Ste A, Dexter, MO 63841 Phone: 573-891-1250 Fax: 573-891-1320 |
Ellen Vaughan, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 610 N. One Mile Road, Dexter, MO 63841 Phone: 573-624-3600 |
Miss Ashley Marie Gantner, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1200 N One Mile Rd, Dexter, MO 63841 Phone: 573-624-7575 |
Kristin Suzanne Wheeler Guethle, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1200 N One Mile Rd, Dexter, MO 63841 Phone: 573-421-3134 |
Camellia A Vermillion, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 911b West Business Hwy 60, Dexter, MO 63841 Phone: 573-625-7149 Fax: 573-614-5806 |
Mrs. Laurie Muriel Jibben, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1200 N One Mile Rd, Dexter, MO 63841 Phone: 573-624-7575 Fax: 573-614-1966 |