Mercy Clinic Springfield Communities is a medicare enrolled "Family Medicine" provider in Hollister, Missouri. Their current practice location is
290 Clift Ct, Hollister, Missouri. You can reach out to their office (for appointments etc.) via phone at
(417) 829-4620.
Mercy Clinic Springfield Communities is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Mercy Clinic Springfield Communities
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1053350454.
Healthcare Provider's Profile
| Full Name | Mercy Clinic Springfield Communities |
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| Type | Facility |
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| Speciality | Family Medicine |
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| Location | 290 Clift Ct, Hollister, Missouri |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1053350454
- Provider Enumeration Date: 06/04/2006
- Last Update Date: 09/11/2013
Medicare PECOS Information:
- PECOS PAC ID: 7416865845
- Enrollment ID: O20140919000965
Medical Identifiers
Medical identifiers for Mercy Clinic Springfield Communities such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1053350454 | NPI | - | NPPES |
| 502606502 | Medicaid | MO | |
| CB9013 | Other | MO | TRAVELERS/RR MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | T03477 (Missouri) | Secondary |
| 152WC0802X | Optometrist - Corneal And Contact Management | T03477 (Missouri) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Mercy Clinic Springfield Communities acts as a billing entity for following providers:
| Provider Name | James M Sauer |
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| Provider Type | Practitioner - Diagnostic Radiology |
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| Provider Identifiers | NPI Number: 1245378918
PECOS PAC ID: 0446223739
Enrollment ID: I20141008002520 |
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| Provider Name | Bashir Ahmed |
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| Provider Type | Practitioner - Psychiatry |
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| Provider Identifiers | NPI Number: 1659537827
PECOS PAC ID: 5799932406
Enrollment ID: I20161013000128 |
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| Provider Name | Krishnendu Ghosh |
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| Provider Type | Practitioner - Psychiatry |
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| Provider Identifiers | NPI Number: 1578843306
PECOS PAC ID: 8921320680
Enrollment ID: I20221010000572 |
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| Provider Name | Julie Senne |
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| Provider Type | Practitioner - Diagnostic Radiology |
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| Provider Identifiers | NPI Number: 1538500913
PECOS PAC ID: 4385969195
Enrollment ID: I20240307001724 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mercy Clinic Springfield Communities is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mercy Clinic Springfield Communities
Po Box 2580,
Springfield, MO 65801-2580
Ph: (417) 829-4620 | Mercy Clinic Springfield Communities
290 Clift Ct,
Hollister, MO 65672-5947
Ph: (417) 829-4620 |
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