| Crown Family Medicine Llc | |
|
1 Crown Dr Ste 200 Kirksville MO 63501-2510 | |
| (660) 665-2846 | |
| Not Available |
| Full Name | Crown Family Medicine Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1 Crown Dr Ste 200, Kirksville, Missouri |
| Authorized Official Name and Position | Kimberly D Swisher (BUSINESS MANAGER) |
| Authorized Official Contact | 6606652846 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Crown Family Medicine Llc 1 Crown Dr Ste 200 P O Box R Kirksville MO 63501-2510 Ph: (660) 665-2846 | Crown Family Medicine Llc 1 Crown Dr Ste 200 Kirksville MO 63501-2510 Ph: (660) 665-2846 |
| NPI Number | 1487820254 |
|---|---|
| Provider Enumeration Date | 05/01/2008 |
| Last Update Date | 07/20/2010 |
| Medicare PECOS PAC ID | 6901920099 |
|---|---|
| Medicare Enrollment ID | O20100826000045 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487820254 | NPI | - | NPPES |
| 113296 | Other | MO | BLUE CROSS BLUE SHIELD |
| 503873408 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Missouri) | Primary |
| Provider Name | Gary Michael Early |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215913132 PECOS PAC ID: 1355465444 Enrollment ID: I20100826000083 |
| Provider Name | Lylia Jean Poland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902974538 PECOS PAC ID: 0840314936 Enrollment ID: I20100826000116 |
Hannibal Regional Healthcare System, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1611 S Baltimore St, Kirksville, MO 63501 Phone: 660-665-7575 Fax: 660-665-7576 | |
James D. Smith, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1108 E Patterson St, Suite 10, Kirksville, MO 63501 Phone: 660-665-4265 | |
Physician Services Of Missouri Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1611 S Baltimore St, Kirksville, MO 63501 Phone: 859-514-5547 Fax: 859-422-4907 | |
Sparks Clinic P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1410 Crown Dr, Kirksville, MO 63501 Phone: 660-665-1400 Fax: 660-665-2081 | |
Adair County Health Dept Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1001 S. Jamison St, Kirksville, MO 63501 Phone: 660-665-8491 Fax: 660-627-2913 | |
Northeast Regional Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1607 S Baltimore St, Kirksville, MO 63501 Phone: 660-627-3363 Fax: 660-627-3367 | |
Kirksville Academic Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 W Jefferson St, Kirksville, MO 63501 Phone: 660-626-2235 Fax: 660-626-2090 |