| Hcc Of Carroll County Llc | |
|
1502 N Jefferson St Carrollton MO 64633-1948 | |
| (660) 542-1695 | |
| Not Available |
| Full Name | Hcc Of Carroll County Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1502 N Jefferson St, Carrollton, Missouri |
| Authorized Official Name and Position | Carrie O'brien (CFO) |
| Authorized Official Contact | 9729783730 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hcc Of Carroll County Llc 17304 Preston Rd Ste 1400 Dallas TX 75252-5633 Ph: (866) 931-8882 | Hcc Of Carroll County Llc 1502 N Jefferson St Carrollton MO 64633-1948 Ph: (660) 542-1695 |
| NPI Number | 1649805763 |
|---|---|
| Provider Enumeration Date | 03/09/2020 |
| Last Update Date | 03/18/2021 |
| Medicare PECOS PAC ID | 0042640633 |
|---|---|
| Medicare Enrollment ID | O20200422002625 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649805763 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Patience Onuoha |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649335092 PECOS PAC ID: 4587624291 Enrollment ID: I20050114000882 |
| Provider Name | Eric L Satterfield |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1912052655 PECOS PAC ID: 1153388194 Enrollment ID: I20050927000504 |
| Provider Name | Jamal Makhoul |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1114904745 PECOS PAC ID: 3779504774 Enrollment ID: I20051216000581 |
| Provider Name | Daniel Regan Scheurich |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659396539 PECOS PAC ID: 7810082724 Enrollment ID: I20081124000438 |
| Provider Name | Thomas Wayne Fulbright |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548213119 PECOS PAC ID: 1557302080 Enrollment ID: I20090320000099 |
| Provider Name | Timothy Hipskind |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265439640 PECOS PAC ID: 8022059591 Enrollment ID: I20090805000420 |
| Provider Name | Shahzad Shafique |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902097439 PECOS PAC ID: 6901950963 Enrollment ID: I20090811000334 |
| Provider Name | Timothy N Reid |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811090780 PECOS PAC ID: 0547314742 Enrollment ID: I20090824000191 |
| Provider Name | Brian P Bree |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992925630 PECOS PAC ID: 8628108271 Enrollment ID: I20100609000295 |
| Provider Name | Arihant Jain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396910469 PECOS PAC ID: 6709910086 Enrollment ID: I20100823000848 |
| Provider Name | John R Tyler |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982650016 PECOS PAC ID: 7911928858 Enrollment ID: I20120727000783 |
| Provider Name | James Wiley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720029069 PECOS PAC ID: 2062484009 Enrollment ID: I20131112001121 |
| Provider Name | Joseph Kirk Sheppard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083901821 PECOS PAC ID: 3375760887 Enrollment ID: I20140806002606 |
| Provider Name | Christian Orji |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700172145 PECOS PAC ID: 0143459909 Enrollment ID: I20140828000888 |
| Provider Name | Asim Ayaz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144509563 PECOS PAC ID: 7416279807 Enrollment ID: I20141215001710 |
| Provider Name | Andrew Horine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720342629 PECOS PAC ID: 0345475455 Enrollment ID: I20150522002408 |
| Provider Name | Joel Kalavelil |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801234810 PECOS PAC ID: 3577796457 Enrollment ID: I20170501000434 |
| Provider Name | John J Yannucci |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790760411 PECOS PAC ID: 6507898772 Enrollment ID: I20190711003583 |
| Provider Name | Samuel Evans |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407197684 PECOS PAC ID: 4587938824 Enrollment ID: I20200617000894 |
| Provider Name | Charles C Glendenning |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285603647 PECOS PAC ID: 6507831419 Enrollment ID: I20200723000389 |
| Provider Name | Reuben Thaker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881890432 PECOS PAC ID: 1658438478 Enrollment ID: I20200814002243 |
| Provider Name | Mark Pence |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801235999 PECOS PAC ID: 9931465044 Enrollment ID: I20201001001389 |
| Provider Name | Abul K Ahsan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376711044 PECOS PAC ID: 0143305185 Enrollment ID: I20210113000614 |
| Provider Name | Md Saifur Rashid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497002778 PECOS PAC ID: 5597081638 Enrollment ID: I20210920002485 |
Jefferson Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1502 N Jefferson St, Carrollton, MO 64633 Phone: 660-542-9998 Fax: 660-542-9880 | |
Live Well Community Health Center Carrollton Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 E 9th St, Carrollton, MO 64633 Phone: 877-344-3572 Fax: 866-228-4492 | |
Hcc Network Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 718 Harvest Hills Dr, Carrollton, MO 64633 Phone: 877-344-3572 Fax: 866-228-4492 | |
Carroll County Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1502 N Jefferson St, St Suite A B, Carrollton, MO 64633 Phone: 660-542-3865 Fax: 660-542-0336 | |
Jefferson Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1502 N Jefferson St, Carrollton, MO 64633 Phone: 660-542-9998 Fax: 660-542-9880 | |
Reid Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1401 N Jefferson St, Carrollton, MO 64633 Phone: 660-542-3900 Fax: 660-542-3902 |