| Blue Springs Family Care Pc | |
| 
					104 N. 7 Highway Suite B Blue Springs MO 64014-7276  | |
| (816) 229-8880 | |
| (816) 229-4363 | 
| Full Name | Blue Springs Family Care Pc | 
|---|---|
| Speciality | Family Medicine | 
| Location | 104 N. 7 Highway, Blue Springs, Missouri | 
| Authorized Official Name and Position | John Eric Peterson (PRESIDENT) | 
| Authorized Official Contact | 8162298880 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Blue Springs Family Care Pc 104 N. 7 Highway Suite B Blue Springs MO 64014-2726 Ph: (816) 229-8880  | Blue Springs Family Care Pc 104 N. 7 Highway Suite B Blue Springs MO 64014-7276 Ph: (816) 229-8880  | 
| NPI Number | 1811060767 | 
|---|---|
| Provider Enumeration Date | 11/16/2006 | 
| Last Update Date | 08/22/2020 | 
| Medicare PECOS PAC ID | 8527039601 | 
|---|---|
| Medicare Enrollment ID | O20040803000619 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1811060767 | NPI | - | NPPES | 
| 09239018 | Other | MO | BCBS OF KC | 
| 1052 | Other | MO | COVENTRY GHP | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary | 
| Provider Name | Tuongvan Tran | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1689667537 PECOS PAC ID: 2163562935 Enrollment ID: I20091230000051  | 
| Provider Name | John E. Peterson | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1295728236 PECOS PAC ID: 6507993599 Enrollment ID: I20100422001075  | 
| Provider Name | Amy Noelle Jensen | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1508165739 PECOS PAC ID: 5496925950 Enrollment ID: I20110819000398  | 
| Provider Name | Samantha J Harms | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1902248115 PECOS PAC ID: 6507091535 Enrollment ID: I20131029001972  | 
| Provider Name | Catherine A Billington | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1376817189 PECOS PAC ID: 2264668508 Enrollment ID: I20131115000690  | 
| Provider Name | Stefany Jane Hastings | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1891179057 PECOS PAC ID: 1254621493 Enrollment ID: I20160601000457  | 
| Provider Name | Kathrine Jean Stipanovich | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1124563507 PECOS PAC ID: 9739462003 Enrollment ID: I20170210001478  | 
| Provider Name | Michelle A Cass | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1164907622 PECOS PAC ID: 9830442524 Enrollment ID: I20181025003078  | 
| Provider Name | Christopher Lee Edmondson | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1982221156 PECOS PAC ID: 6002232394 Enrollment ID: I20200818000272  | 
| Provider Name | Mark Dawdy | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1558147538 PECOS PAC ID: 9739533555 Enrollment ID: I20230928000422  | 
Carondelet Physician Services Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 220 Nw Rd Mize Rd, Suite 101, Blue Springs, MO 64014 Phone: 816-228-9841 Fax: 816-228-1514  | |
Cockerell & Mcintosh Pediatrics Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 Nw Rd Mize Rd, Suite 304, Blue Springs, MO 64014 Phone: 816-228-4770 Fax: 816-228-1156  | |
Samuel U. Rodgers Health Center, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1501 Nw Jefferson St, Blue Springs, MO 64015 Phone: 816-224-1740  | |
Family Care Of E. Jackson County Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 725 Nw State Route 7 Ste B, Blue Springs, MO 64014 Phone: 816-229-8187  | |
Moberly Area Osteopathic Clinic, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3308 Thornbird St, Blue Springs, MO 64015 Phone: 816-588-3420 Fax: 816-988-8333  | |
Garcia Family Medicine & Women's Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 514 N 7 Hwy, Suite B, Blue Springs, MO 64014 Phone: 816-867-2065 Fax: 888-807-2718  | |
Elevate Life Chiropractic, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2004 Nw South Outer Rd, Blue Springs, MO 64015 Phone: 816-427-5244 Fax: 816-427-5245  |