| Zacharias Alan Dane, FNP-C | |
|
555 W Pine St, Farmington, MO 63640-1439 | |
| (573) 747-1510 | |
| (573) 747-1512 |
| Full Name | Zacharias Alan Dane |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 555 W Pine St, Farmington, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124758495 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | F06220239 (Missouri) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 2022022676 (Missouri) | Primary |
| Entity Name | Midwest Health Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295857340 PECOS PAC ID: 7214021385 Enrollment ID: O20070920000034 |
| Entity Name | Midwest Health Group Convenient Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578797031 PECOS PAC ID: 6507912748 Enrollment ID: O20090916000487 |
| Mailing Address | Practice Location Address |
|---|---|
| Zacharias Alan Dane, FNP-C 555 W Pine St, Farmington, MO 63640-1439 Ph: (573) 747-1510 | Zacharias Alan Dane, FNP-C 555 W Pine St, Farmington, MO 63640-1439 Ph: (573) 747-1510 |
Melinda Dawn Dugal, F.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 515 Maple Valley Dr, Farmington, MO 63640 Phone: 573-760-7920 Fax: 573-756-9597 | |
Mrs. Misty Dawn Cain, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 555 W Pine St, Farmington, MO 63640 Phone: 573-747-1510 Fax: 573-747-1512 | |
Jill Basler, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 130 Westmount Dr, Farmington, MO 63640 Phone: 573-756-1813 | |
Kay Lynn Day, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 507 W Pine St, Farmington, MO 63640 Phone: 573-454-2466 | |
Dirk E Roberts, RNFA, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 606 Maple Valley Dr, Farmington, MO 63640 Phone: 573-756-7779 Fax: 573-756-6914 | |
Gabrielle Marie Plummer, MSN, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1106 Hazel Ln, Farmington, MO 63640 Phone: 573-756-6751 | |
Sarah Anne Darnell, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 620 Maple Valley Dr Ste A, Farmington, MO 63640 Phone: 573-454-2466 Fax: 573-454-2544 |