| Ms Deanna M Twyman, APRN, BC, FNP | |
|
301 South Newport Avenue, Conway, MO 65632 | |
| (417) 589-2050 | |
| (417) 589-4046 |
| Full Name | Ms Deanna M Twyman |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 32 Years |
| Location | 301 South Newport Avenue, Conway, 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 |
|---|---|---|---|
| 1164408399 | NPI | - | NPPES |
| 598899201 | Medicaid | MO | |
| 107004 | Other | MO | BLUE CROSS BLUE SHIELD |
| A002 | Other | TRI CARE IDENTIFIER | |
| RN081602 | Other | MO | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RN081602 (Missouri) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Conway Family Clinic, Inc. | 8527012103 | 2 |
| Entity Name | Conway Family Clinic, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013993898 PECOS PAC ID: 8527012103 Enrollment ID: O20050307000384 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Deanna M Twyman, APRN, BC, FNP Po Box 9, Conway, MO 65632-0009 Ph: (417) 589-2050 | Ms Deanna M Twyman, APRN, BC, FNP 301 South Newport Avenue, Conway, MO 65632 Ph: (417) 589-2050 |
Brooke Nicole Tabor, PMHNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 494 Mulberry Rd, Conway, MO 65632 Phone: 417-230-3648 | |
Mitzi Gerretsen, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 301 S Newport Ave, Conway, MO 65632 Phone: 417-589-2050 | |
Suzanne Thompson, APRN, BC, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 601 W. Jefferson St., Suite C, Conway, MO 65632 Phone: 417-589-2050 Fax: 417-589-4046 |