| Mrs Michelle Ann Backfisch, CNP | |
|
2102 Main St, Scott City, MO 63780-1337 | |
| (573) 264-0042 | |
| Not Available |
| Full Name | Mrs Michelle Ann Backfisch |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 2102 Main St, Scott City, 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 |
|---|---|---|---|
| 1639731474 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 2019024732 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Southeasthealth | Cape girardeau, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Regional Brain And Spine Llc | 0749237808 | 11 |
| Southeast Missouri Hospital Physicians Llc | 9133024334 | 188 |
| Entity Name | Southeast Missouri Hospital Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558311522 PECOS PAC ID: 9133024334 Enrollment ID: O20031201000775 |
| Entity Name | Regional Brain & Spine Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992753289 PECOS PAC ID: 0749237808 Enrollment ID: O20050401000170 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Michelle Ann Backfisch, CNP 1318a Main St, Scott City, MO 63780-1937 Ph: () - | Mrs Michelle Ann Backfisch, CNP 2102 Main St, Scott City, MO 63780-1337 Ph: (573) 264-0042 |
Andrea Lauren Tripoli, AGPCNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2102 Main St, Scott City, MO 63780 Phone: 573-264-0042 | |
Sarah Nicole Ressel, MSN, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1318a Main St, Scott City, MO 63780 Phone: 573-264-5020 Fax: 573-264-5021 |