| Mrs Samantha Danielle Welch, FNP | |
|
500 Main St, Cabool, MO 65689-8104 | |
| (417) 962-3015 | |
| (417) 962-5240 |
| Full Name | Mrs Samantha Danielle Welch |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 500 Main St, Cabool, 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 |
|---|---|---|---|
| 1932734092 | NPI | - | NPPES |
| 26D2006074 | Other | MO | CLIA MG |
| 26D0859759 | Other | MO | CLIA CMC |
| 26D0679044 | Other | MO | CLIA LFC |
| 26D2178130 | Other | MO | CLIA FHC |
| 420081939 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 2020008394 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Salem Memorial District Hospital | Salem, MO | Hospital |
| Phelps County Regional Medical Center | Rolla, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Salem Memorial Hospital | 7012801129 | 6 |
| Entity Name | Salem Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114177557 PECOS PAC ID: 7012801129 Enrollment ID: O20040210000857 |
| Entity Name | Texas County Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235178930 PECOS PAC ID: 9436041696 Enrollment ID: O20041020000359 |
| Entity Name | Texas County Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396785135 PECOS PAC ID: 9436041696 Enrollment ID: O20060323000624 |
| Entity Name | Texas County Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285957001 PECOS PAC ID: 9436041696 Enrollment ID: O20100813000720 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Samantha Danielle Welch, FNP 94 County Road 4230, Salem, MO 65560-8129 Ph: (573) 247-8980 | Mrs Samantha Danielle Welch, FNP 500 Main St, Cabool, MO 65689-8104 Ph: (417) 962-3015 |
Stephanie Ann Thurman, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 500 Main St, Cabool, MO 65689 Phone: 417-962-3015 Fax: 417-962-5240 |