Fordland Clinic, Inc. - Medicare Primary Care in Fordland, MO

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Fordland Clinic, Inc. is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Fordland, Missouri. The current practice location for Fordland Clinic, Inc. is 1059 Barton Dr, Fordland, Missouri. For appointments, you can reach them via phone at (417) 767-2273. The mailing address for Fordland Clinic, Inc. is 1059 Barton Dr, Fordland, Missouri and phone number is (417) 767-2273.

Fordland Clinic, Inc. is licensed to practice in Missouri (license number 26-1009). The clinic also participates in the medicare program and its NPI number is 1881607612. 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 (417) 767-2273.

Contact Information

Fordland Clinic, Inc.
1059 Barton Dr
Fordland
MO 65652-7350
(417) 767-2273
(417) 767-4054

Map and Direction


Primary Care Clinic Profile

Full NameFordland Clinic, Inc.
SpecialityClinic/Center
Location1059 Barton Dr, Fordland, Missouri
Authorized Official Name and PositionJoan Twiton (EXECUTIVE DIRECTOR)
Authorized Official Contact4177672273
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Fordland Clinic, Inc.
1059 Barton Dr
Fordland
MO 65652-7350

Ph: (417) 767-2273		Fordland Clinic, Inc.
1059 Barton Dr
Fordland
MO 65652-7350

Ph: (417) 767-2273

NPI Details:

NPI Number1881607612
Provider Enumeration Date08/14/2006
Last Update Date06/19/2019

Medicare PECOS Information:

Medicare PECOS PAC ID5597794552
Medicare Enrollment IDO20050913000367

Medical Identifiers

Medical identifiers for Fordland Clinic, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1881607612NPI-NPPES
508519105MedicaidMO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QR1300XClinic/center - Rural Health 263865 (Missouri)Secondary
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) 26-1009 (Missouri)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Fordland Clinic, Inc. acts as a billing entity for following providers:
Provider NameMark J Brady
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1366439630
PECOS PAC ID: 5092707604
Enrollment ID: I20040402000072
Provider NameGrace S Beaumont
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1700935459
PECOS PAC ID: 0547249906
Enrollment ID: I20040719000628
Provider NameRobert G Marsh
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679570287
PECOS PAC ID: 3274501713
Enrollment ID: I20040922000310
Provider NamePeggy S Cargin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386603280
PECOS PAC ID: 5597866624
Enrollment ID: I20070817000064
Provider NameAngela Coleen Moore Clay
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1992899645
PECOS PAC ID: 7517041627
Enrollment ID: I20080228000166
Provider NameBrian E Basham
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1376617274
PECOS PAC ID: 7719167543
Enrollment ID: I20110210000423
Provider NameDebby Carl
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891147104
PECOS PAC ID: 3870886617
Enrollment ID: I20160801001696
Provider NameKiran Dhaliwal
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336664895
PECOS PAC ID: 8426452921
Enrollment ID: I20210805001419
Provider NameRenae Jenelle Richardson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659045847
PECOS PAC ID: 4486050036
Enrollment ID: I20210907001174
Provider NameHyojin Meadows
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356816383
PECOS PAC ID: 0547505034
Enrollment ID: I20211109000330
Provider NameBenton Drew Tolleson
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1477199503
PECOS PAC ID: 1052765195
Enrollment ID: I20230923000519
Provider NameRonica Jean Duncan
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1700859329
PECOS PAC ID: 6103271499
Enrollment ID: I20231005002887
Provider NameReed B. Bisso
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1821240789
PECOS PAC ID: 3476901786
Enrollment ID: I20231128000608
Provider NameTheresa Anne Griffith
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1467731018
PECOS PAC ID: 8022453075
Enrollment ID: I20240229000757
Provider NameDelana Shoemake
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932963360
PECOS PAC ID: 8224474788
Enrollment ID: I20240307000943
Provider NameGianina M Catron
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1235771791
PECOS PAC ID: 4486040268
Enrollment ID: I20240829002706
Provider NameGary A Linker
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1902856867
PECOS PAC ID: 8729056064
Enrollment ID: I20250507002648

Reviews and Comments


Clinic/Center in Fordland, MO

Fordland Clinic, Inc.
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1059 Barton Dr, Fordland, MO 65652
Phone: 417-767-2273    Fax: 417-767-4054

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.