| Mrs Lorene L Stephan, ARNP | |
|
1600 N Missouri Ave, Marceline, MO 64658-1012 | |
| (660) 376-2038 | |
| (660) 376-3011 |
| Full Name | Mrs Lorene L Stephan |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1600 N Missouri Ave, Marceline, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073511523 | NPI | - | NPPES |
| 100358770F | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 44805 (Kansas) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 146404 (Missouri) | Secondary |
| Entity Name | Jefferson County Memorial Hospital, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750354908 PECOS PAC ID: 6002868445 Enrollment ID: O20050215000085 |
| Entity Name | Prime Healthcare Physician Services - Providence Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356683213 PECOS PAC ID: 1052553906 Enrollment ID: O20130806000598 |
| Entity Name | Signify Health Medical Associates Of Kansas Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780261701 PECOS PAC ID: 8628487998 Enrollment ID: O20210518000551 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Lorene L Stephan, ARNP 1600 N Missouri, Marceline, MO 64658 Ph: (660) 376-2038 | Mrs Lorene L Stephan, ARNP 1600 N Missouri Ave, Marceline, MO 64658-1012 Ph: (660) 376-2038 |
Katie Peterson, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1600 N Missouri Ave, Marceline, MO 64658 Phone: 660-376-2038 Fax: 660-376-3011 |