Dixon Family Practice And Internal Medicine, Llc is a medicare enrolled primary clinic (Clinic/center - Rural Health) in Dixon, Missouri. The current practice location for Dixon Family Practice And Internal Medicine, Llc is 206 West 2nd Street, Dixon, Missouri. For appointments, you can reach them via phone at
(573) 759-3030. The mailing address for Dixon Family Practice And Internal Medicine, Llc is Po Box 9900, Dixon, Missouri and phone number is (573) 759-3030.
Dixon Family Practice And Internal Medicine, Llc is licensed to practice in Missouri (license number 263875). The clinic also participates in the medicare program and its
NPI number is 1235135682. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(573) 759-3030.
Primary Care Clinic Profile
| Full Name | Dixon Family Practice And Internal Medicine, Llc |
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| Speciality | Clinic/Center |
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| Location | 206 West 2nd Street, Dixon, Missouri |
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| Authorized Official Name and Position | Carlene S Mcmillian (OWNER) |
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| Authorized Official Contact | 5737593030 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Dixon Family Practice And Internal Medicine, Llc
Po Box 9900
Dixon
MO 65459-0940
Ph: (573) 759-3030 | Dixon Family Practice And Internal Medicine, Llc
206 West 2nd Street
Dixon
MO 65459-0940
Ph: (573) 759-3030 |
NPI Details:
| NPI Number | 1235135682 |
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| Provider Enumeration Date | 06/21/2005 |
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| Last Update Date | 04/29/2008 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 4486729563 |
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| Medicare Enrollment ID | O20080825000443 |
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Medical Identifiers
Medical identifiers for Dixon Family Practice And Internal Medicine, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1235135682 | NPI | - | NPPES |
| 508937000 | Medicaid | MO | |
| 598937001 | Medicaid | MO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | R6D44 (Missouri) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | 263875 (Missouri) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 113217 (Missouri) | Secondary |
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