| Cape Family Care Llc | |
|
2907 Keystone Dr Cape Girardeau MO 63701-1724 | |
| (573) 803-2400 | |
| (877) 516-6401 |
| Full Name | Cape Family Care Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2907 Keystone Dr, Cape Girardeau, Missouri |
| Authorized Official Name and Position | Robert Daniel Bieser (MANAGING PARTNER) |
| Authorized Official Contact | 5739063850 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cape Family Care Llc 2907 Keystone Dr Cape Girardeau MO 63701-1724 Ph: (573) 803-2400 | Cape Family Care Llc 2907 Keystone Dr Cape Girardeau MO 63701-1724 Ph: (573) 803-2400 |
| NPI Number | 1538408737 |
|---|---|
| Provider Enumeration Date | 02/07/2013 |
| Last Update Date | 12/08/2023 |
| Medicare PECOS PAC ID | 5294973764 |
|---|---|
| Medicare Enrollment ID | O20130523000429 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538408737 | NPI | - | NPPES |
| 246850705 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 104929 (Missouri) | Primary |
| Provider Name | Robert D Bieser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386732196 PECOS PAC ID: 0143270165 Enrollment ID: I20050128000099 |
| Provider Name | Leeanna Rhodes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386101871 PECOS PAC ID: 5890036107 Enrollment ID: I20190416000046 |
| Provider Name | Crystal L Heck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427302769 PECOS PAC ID: 6103155072 Enrollment ID: I20190903001999 |
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