| Mrs Leisa Dawn Blanchard, FNP-C | |
|
1307 S Main St, Lockwood, MO 65682-8327 | |
| (417) 232-4560 | |
| (417) 232-4611 |
| Full Name | Mrs Leisa Dawn Blanchard |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 11 Years |
| Location | 1307 S Main St, Lockwood, 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 |
|---|---|---|---|
| 1861693640 | NPI | - | NPPES |
| 359160504 | Medicaid | MO | |
| 1861693640 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WD0400X | Registered Nurse - Diabetes Educator | 142484 (Missouri) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 2015034072 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cox Barton County Hospital | Lamar, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Barton County Memorial Hospital | 2365333234 | 14 |
| Cbch Llc | 6406116797 | 14 |
| Cox Barton County Hospital | 8820329782 | 23 |
| Entity Name | Cox Barton County Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174166177 PECOS PAC ID: 8820329782 Enrollment ID: O20200116001299 |
| Entity Name | Cox Barton County Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1568097897 PECOS PAC ID: 8820329782 Enrollment ID: O20200429000407 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Leisa Dawn Blanchard, FNP-C Po Box 505164, Saint Louis, MO 63150-5164 Ph: (417) 829-4620 | Mrs Leisa Dawn Blanchard, FNP-C 1307 S Main St, Lockwood, MO 65682-8327 Ph: (417) 232-4560 |
Mrs. Ashley Corine Dawson, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1307 S Main St, Lockwood, MO 65682 Phone: 417-232-4560 | |
Mrs. Kenyon Michelle Singer, FNP-NC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1307 S Main St, Lockwood, MO 65682 Phone: 417-232-4560 | |
Carrie L Lucas, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1307 S Main St, Lockwood, MO 65682 Phone: 417-232-4560 Fax: 417-232-4611 | |
Kelbey Lee Bowles, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1307 S Main St, Lockwood, MO 65682 Phone: 417-232-4560 |