| Harrisonville Family Medicine, Inc. | |
|
2820 E Rock Haven Rd Suite 100 Harrisonville MO 64701-4411 | |
| (816) 380-3582 | |
| (816) 380-6964 |
| Full Name | Harrisonville Family Medicine, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 2820 E Rock Haven Rd, Harrisonville, Missouri |
| Authorized Official Name and Position | Shaun Holden (PRESIDENT) |
| Authorized Official Contact | 8163803582 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Harrisonville Family Medicine, Inc. 2820 E Rock Haven Rd Suite 100 Harrisonville MO 64701-4411 Ph: (816) 380-3582 | Harrisonville Family Medicine, Inc. 2820 E Rock Haven Rd Suite 100 Harrisonville MO 64701-4411 Ph: (816) 380-3582 |
| NPI Number | 1891715652 |
|---|---|
| Provider Enumeration Date | 07/21/2006 |
| Last Update Date | 01/04/2024 |
| Medicare PECOS PAC ID | 2264489384 |
|---|---|
| Medicare Enrollment ID | O20050331001052 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891715652 | NPI | - | NPPES |
| CS2185 | Other | RAILROAD MEDICARE | |
| 504598905 | Medicaid | MO | |
| 24999018 | Other | BLUE CROSS BLUE SHIELD |
| Provider Name | Shaun B Holden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013933407 PECOS PAC ID: 7214025444 Enrollment ID: I20071121000307 |
| Provider Name | Damon K Travis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578583852 PECOS PAC ID: 7719067925 Enrollment ID: I20100201000667 |
| Provider Name | Aaron L Travis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134149321 PECOS PAC ID: 9537249743 Enrollment ID: I20100201000701 |
| Provider Name | Stacie Kubicsko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104281633 PECOS PAC ID: 4183928468 Enrollment ID: I20160205002227 |
| Provider Name | Amy Marie Gibbens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679001754 PECOS PAC ID: 0941578744 Enrollment ID: I20170620002401 |
| Provider Name | Taylor Marie Lincoln |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043705080 PECOS PAC ID: 1355692468 Enrollment ID: I20180927002598 |
| Provider Name | Jacob Robert Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326793167 PECOS PAC ID: 7810379351 Enrollment ID: I20220801001742 |
| Provider Name | Ashlee Diane Brattin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518695980 PECOS PAC ID: 2668840463 Enrollment ID: I20221129002411 |
| Provider Name | Meredith Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629793229 PECOS PAC ID: 0345606497 Enrollment ID: I20230710003637 |
Serc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 815 Westchester Ave, Harrisonville, MO 64701 Phone: 816-380-3344 Fax: 816-380-3044 | |
Harrisonville Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2820 E Rock Haven Road, Suite 210, Harrisonville, MO 64701 Phone: 816-380-7470 Fax: 816-380-3291 | |
Ksp Health - Mo Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 117 S Lexington St Ste 100, Harrisonville, MO 64701 Phone: 316-516-2853 | |
Compass Health, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 300 Galaxie Ave, Harrisonville, MO 64701 Phone: 844-853-8937 | |
Smith Chiropractic Pain Center Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2609 Cantrell Rd, Harrisonville, MO 64701 Phone: 816-380-3860 Fax: 816-380-3862 | |
Harrisonville Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2820 E Rock Haven Road, Suite 210, Harrisonville, MO 64701 Phone: 816-380-7470 Fax: 816-380-3291 | |
Serc - Harrisonville Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 678 S Commercial St, Harrisonville, MO 64701 Phone: 816-380-3325 Fax: 816-380-3044 |