| Adderley Medical Group, L.L.C. | |
|
1400 Us Highway 61 Festus MO 63028-4100 | |
| (314) 288-9161 | |
| Not Available |
| Full Name | Adderley Medical Group, L.L.C. |
|---|---|
| Speciality | General Practice |
| Location | 1400 Us Highway 61, Festus, Missouri |
| Authorized Official Name and Position | Mark Floyd Adderley (MEMBER) |
| Authorized Official Contact | 3142889161 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Adderley Medical Group, L.L.C. 4770 Old School Trl Hillsboro MO 63050-4929 Ph: (314) 288-9161 | Adderley Medical Group, L.L.C. 1400 Us Highway 61 Festus MO 63028-4100 Ph: (314) 288-9161 |
| NPI Number | 1134433659 |
|---|---|
| Provider Enumeration Date | 07/27/2010 |
| Last Update Date | 06/12/2024 |
| Certification Date | 09/02/2021 |
| Medicare PECOS PAC ID | 8426174616 |
|---|---|
| Medicare Enrollment ID | O20100924000761 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134433659 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 2007032281 (Missouri) | Primary |
| Provider Name | Mark F Adderley |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1114149903 PECOS PAC ID: 1052489887 Enrollment ID: I20081007000575 |
Id Consultants, P.C. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1400 Us Highway 61 Ste 260, Festus, MO 63028 Phone: 636-933-2344 Fax: 636-937-9031 |
Comtrea Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 112 S 2nd St, Festus, MO 63028 Phone: 636-931-2700 |
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Gastroenterology and Liver Consultants LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 420 W Main St, Festus, MO 63028 Phone: 636-931-2320 Fax: 636-937-9693 |
Southern Missouri Infectious Disease Specialists LLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1447 Us Highway 61 Ste C, Festus, MO 63028 Phone: 636-375-4153 Fax: 636-333-4510 |
Mercy Clinic Adult Hospitalists- Jefferson, LLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1400 Us Highway 61, Festus, MO 63028 Phone: 314-364-4200 |