Kahoka Medical Clinic - Medicare Primary Care in Kahoka, MO

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Kahoka Medical Clinic is a medicare enrolled primary clinic (Clinic/center - Rural Health) in Kahoka, Missouri. The current practice location for Kahoka Medical Clinic is 103 E Commercial St, Kahoka, Missouri. For appointments, you can reach them via phone at (660) 727-3377. The mailing address for Kahoka Medical Clinic is 103 E. Commercial Street, Kahoka, Missouri and phone number is (660) 727-3377.

Kahoka Medical Clinic is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1245427608. 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 (660) 727-3377.

Contact Information

Kahoka Medical Clinic
103 E Commercial St
Kahoka
MO 63445-1701
(660) 727-3377
(660) 727-3775

Map and Direction


Primary Care Clinic Profile

Full NameKahoka Medical Clinic
SpecialityClinic/Center
Location103 E Commercial St, Kahoka, Missouri
Authorized Official Name and PositionTim Moore (VP FINANCE / CAO)
Authorized Official Contact2172231200
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kahoka Medical Clinic
103 E. Commercial Street
Kahoka
MO 63445-1701

Ph: (660) 727-3377		Kahoka Medical Clinic
103 E Commercial St
Kahoka
MO 63445-1701

Ph: (660) 727-3377

NPI Details:

NPI Number1245427608
Provider Enumeration Date10/01/2007
Last Update Date11/27/2023

Medicare PECOS Information:

Medicare PECOS PAC ID5991616138
Medicare Enrollment IDO20040310000616

Medical Identifiers

Medical identifiers for Kahoka Medical Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245427608NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Secondary
208D00000XGeneral Practice (* (Not Available))Secondary
261QR1300XClinic/center - Rural Health (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Kahoka Medical Clinic acts as a billing entity for following providers:
Provider NameEliot Nissenbaum
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1326082454
PECOS PAC ID: 1759275365
Enrollment ID: I20050310000000
Provider NameMary Jo Crawford
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1043208051
PECOS PAC ID: 7911891619
Enrollment ID: I20060926000304
Provider NameWilliam A Andel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821048372
PECOS PAC ID: 2163598897
Enrollment ID: I20080904000204
Provider NameSteven W Krause
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1386628519
PECOS PAC ID: 9234195884
Enrollment ID: I20090914000796
Provider NameDavid J Knorr
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1255310850
PECOS PAC ID: 6406996065
Enrollment ID: I20091214000133
Provider NameJohn D Hammock
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1912082975
PECOS PAC ID: 7618919101
Enrollment ID: I20100422000082
Provider NameBrigitte Renee Cormier
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1124138367
PECOS PAC ID: 1052503943
Enrollment ID: I20101011000757
Provider NameTraci Lynette Kline
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467767095
PECOS PAC ID: 9830383009
Enrollment ID: I20101101001488
Provider NameMatthew P Cormier
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1831109347
PECOS PAC ID: 6901092170
Enrollment ID: I20101130000780
Provider NameIrving L Schwartz
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1831103092
PECOS PAC ID: 4880615558
Enrollment ID: I20110302000673
Provider NameGina Marie Pontius
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1871793257
PECOS PAC ID: 0749459808
Enrollment ID: I20110805000195
Provider NameAmber N Gottman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831589944
PECOS PAC ID: 6103142922
Enrollment ID: I20150313000111
Provider NameMelissa Matrisch
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1811215064
PECOS PAC ID: 3476861568
Enrollment ID: I20151009002341
Provider NameShanna Dierker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558728337
PECOS PAC ID: 6406154608
Enrollment ID: I20170612001764
Provider NameBrittany Egley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114457330
PECOS PAC ID: 5890064844
Enrollment ID: I20170706001630
Provider NameAmy North
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1699189332
PECOS PAC ID: 8729209127
Enrollment ID: I20170824001335
Provider NameJosue Acevedo
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1427325034
PECOS PAC ID: 8224304043
Enrollment ID: I20171024000299
Provider NameJennifer A. Holcomb
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639330400
PECOS PAC ID: 8729153457
Enrollment ID: I20180621001314
Provider NameKatherine Thomure
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1043727522
PECOS PAC ID: 8820358633
Enrollment ID: I20180717001830
Provider NameJennifer Martin
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1336697010
PECOS PAC ID: 8325397938
Enrollment ID: I20180918004171
Provider NameDawn Mckenzie
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215288683
PECOS PAC ID: 5092966754
Enrollment ID: I20191010001235
Provider NameJeffrey R Cook
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1952353518
PECOS PAC ID: 1254483480
Enrollment ID: I20191202002650
Provider NameBarry A Werries
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1962481366
PECOS PAC ID: 6103895693
Enrollment ID: I20200602000374
Provider NameHolly Henderson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710034954
PECOS PAC ID: 5496991457
Enrollment ID: I20201021002982
Provider NameBradley Holland
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1578910741
PECOS PAC ID: 7911290465
Enrollment ID: I20210923000942
Provider NameKimberly Anne Mitchell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124790878
PECOS PAC ID: 5890186605
Enrollment ID: I20220104002430
Provider NameJessica Curry
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1467741355
PECOS PAC ID: 4082927231
Enrollment ID: I20220321002221
Provider NameMatthew T Winterton
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1740675552
PECOS PAC ID: 0749606291
Enrollment ID: I20221104001868

Reviews and Comments


Clinic/Center in Kahoka, MO

Crenshaw Family Practice Clinic, Pc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 133 E Main, Kahoka, MO 63445
Phone: 660-727-3388    Fax: 660-727-2196
Blessing Health Kahoka
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 103 E Commercial St, Kahoka, MO 63445
Phone: 660-727-3377    Fax: 660-727-3775
Quincy Medical Group Kahoka Affiliate
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 133 E Main St, Kahoka, MO 63445
Phone: 660-727-3388    Fax: 660-727-2196
Salt River Community Dental Center
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 248 N Morgan St, Kahoka, MO 63445
Phone: 660-727-1500    Fax: 660-727-1502

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.