Lake Regional Medical Group - Medicare Primary Care in Osage Beach, MO

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Lake Regional Medical Group is a medicare enrolled primary clinic (Clinic/center) in Osage Beach, Missouri. The current practice location for Lake Regional Medical Group is 54 Hospital Dr, Osage Beach, Missouri. For appointments, you can reach them via phone at (573) 348-8074. The mailing address for Lake Regional Medical Group is Po Box 801661, Kansas City, Missouri and phone number is (573) 348-8000.

Lake Regional Medical Group is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1639134158. 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) 348-8074.

Contact Information

Lake Regional Medical Group
54 Hospital Dr
Osage Beach
MO 65065-3050
(573) 348-8074
(573) 348-8069

Map and Direction


Primary Care Clinic Profile

Full NameLake Regional Medical Group
SpecialityClinic/Center
Location54 Hospital Dr, Osage Beach, Missouri
Authorized Official Name and PositionKevin Mcroberts (CEO)
Authorized Official Contact5733488756
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Lake Regional Medical Group
Po Box 801661
Kansas City
MO 64180-1661

Ph: (573) 348-8000		Lake Regional Medical Group
54 Hospital Dr
Osage Beach
MO 65065-3050

Ph: (573) 348-8074

NPI Details:

NPI Number1639134158
Provider Enumeration Date04/18/2006
Last Update Date10/16/2023

Medicare PECOS Information:

Medicare PECOS PAC ID3577467323
Medicare Enrollment IDO20031122000076

Medical Identifiers

Medical identifiers for Lake Regional Medical Group such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639134158NPI-NPPES
501945604MedicaidMO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261Q00000XClinic/center (* (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. Lake Regional Medical Group acts as a billing entity for following providers:
Provider NameZubair A Khan
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1861491854
PECOS PAC ID: 8729982582
Enrollment ID: I20031122000106
Provider NameMiriam B Borden
Provider TypePractitioner - Rheumatology
Provider IdentifiersNPI Number: 1518966571
PECOS PAC ID: 2961463112
Enrollment ID: I20041021000642
Provider NameRandy G Brown
Provider TypePractitioner - Vascular Surgery
Provider IdentifiersNPI Number: 1134218662
PECOS PAC ID: 0042268112
Enrollment ID: I20050316000169
Provider NameJeffrey M Jones
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1942296314
PECOS PAC ID: 7416845524
Enrollment ID: I20050818000005
Provider NameMuthu S Krishnan
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1528089539
PECOS PAC ID: 8123048535
Enrollment ID: I20051130000636
Provider NameTrevor Axford
Provider TypePractitioner - Thoracic Surgery
Provider IdentifiersNPI Number: 1528094224
PECOS PAC ID: 0648274449
Enrollment ID: I20060911000212
Provider NameCurtis D Mather
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1053414524
PECOS PAC ID: 8729056593
Enrollment ID: I20061103000266
Provider NameJeffrey J Mutchler
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1205946449
PECOS PAC ID: 2365449386
Enrollment ID: I20061103000326
Provider NameJohn C Patton
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1194737346
PECOS PAC ID: 1456353424
Enrollment ID: I20070203000075
Provider NameKevin G Byrne
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1326020082
PECOS PAC ID: 8224139407
Enrollment ID: I20070719000049
Provider NameJustin A Malone
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1689895534
PECOS PAC ID: 6406948439
Enrollment ID: I20070822001247
Provider NameHarjyot S Sohal
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1962468520
PECOS PAC ID: 2860564465
Enrollment ID: I20080626000163
Provider NameLisa G Kolb
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1336135276
PECOS PAC ID: 2567552912
Enrollment ID: I20080805000627
Provider NameJerrold Allan Schermer
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1851305916
PECOS PAC ID: 9335141472
Enrollment ID: I20100619000162
Provider NameDonald R Thompson
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1467520346
PECOS PAC ID: 7113059346
Enrollment ID: I20100722000997
Provider NameMichael S Severance
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1790708907
PECOS PAC ID: 3678539707
Enrollment ID: I20100820000479
Provider NamePhilip J Kurle
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1184692568
PECOS PAC ID: 8426047911
Enrollment ID: I20100924001351
Provider NamePatience R Mccoy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417116187
PECOS PAC ID: 1153518089
Enrollment ID: I20101204000110
Provider NameCody L Fox
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1366768939
PECOS PAC ID: 2466632054
Enrollment ID: I20110215000315
Provider NameHarbaksh Singh Sangha
Provider TypePractitioner - Critical Care (intensivists)
Provider IdentifiersNPI Number: 1629170741
PECOS PAC ID: 7214118785
Enrollment ID: I20110217000202
Provider NameKeith A Bonacquisti
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1487773669
PECOS PAC ID: 1153339825
Enrollment ID: I20120104000462
Provider NameJustin T Shatto
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1518187467
PECOS PAC ID: 4082862289
Enrollment ID: I20120913000072
Provider NameScott L Hofer
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1285614354
PECOS PAC ID: 2860403078
Enrollment ID: I20121017000691
Provider NameJacob A Quick
Provider TypePractitioner - Critical Care (intensivists)
Provider IdentifiersNPI Number: 1649431941
PECOS PAC ID: 8022242445
Enrollment ID: I20140522001567
Provider NameTeresa Buol
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780787937
PECOS PAC ID: 1951614916
Enrollment ID: I20150720002167
Provider NameAlicia Clark
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821469537
PECOS PAC ID: 4688983224
Enrollment ID: I20151021001649
Provider NameEric Mcqueary
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1609215003
PECOS PAC ID: 2466756671
Enrollment ID: I20180621000047
Provider NameEric R Varboncouer
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1164643201
PECOS PAC ID: 4385817162
Enrollment ID: I20181019001923
Provider NameHailey Dunn
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083249213
PECOS PAC ID: 9739510660
Enrollment ID: I20200511000206
Provider NameSamantha J Emry
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427664614
PECOS PAC ID: 8820409444
Enrollment ID: I20201202002243
Provider NameOluwakunle Oluwatosin
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1396912796
PECOS PAC ID: 1557439262
Enrollment ID: I20201207000637
Provider NameStephanie L Tittle
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1306415971
PECOS PAC ID: 7618379645
Enrollment ID: I20210713001440
Provider NameChelsea Megan Pendleton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427663863
PECOS PAC ID: 6800292954
Enrollment ID: I20210915000935
Provider NameJessica L Willis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326704297
PECOS PAC ID: 0941691133
Enrollment ID: I20211223000296
Provider NameLyndsay D Funke
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164177069
PECOS PAC ID: 6507253721
Enrollment ID: I20220418001863
Provider NameEddie Tang
Provider TypePractitioner - Thoracic Surgery
Provider IdentifiersNPI Number: 1093729691
PECOS PAC ID: 3870562267
Enrollment ID: I20220826001196
Provider NameTeresa Lynne Bauer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295446706
PECOS PAC ID: 2961875315
Enrollment ID: I20230306000727
Provider NameJennifer Buckingham
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447950878
PECOS PAC ID: 6507231875
Enrollment ID: I20230419001006
Provider NameHallie Jean Willis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154107654
PECOS PAC ID: 9638526478
Enrollment ID: I20231115002900

Reviews and Comments


Clinic/Center in Osage Beach, MO

The Lake's Liver And Digestive Health Center Inc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1029 Nichols Rd Ste 201, Osage Beach, MO 65065
Phone: 573-302-7138    Fax: 573-302-4686
Osage Family Clinic, Llc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1191 Highway Kk, Suite 202, Osage Beach, MO 65065
Phone: 573-302-0670    Fax: 573-302-0677
Lake Regional Clinic - Osage Beach
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 1057 Medical Park Dr, Suite A, Osage Beach, MO 65065
Phone: 573-302-3100    Fax: 573-348-8279
Lake Regional Health System
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 54 Hospital Dr, Osage Beach, MO 65065
Phone: 573-348-8000    
Lake Regional Obstetrics & Gynecology
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 54 Hospital Dr Ste 201, Osage Beach, MO 65065
Phone: 573-302-2764    Fax: 573-302-2767
Jcmg At The Lake
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 5816 Osage Beach Pkwy Ste 105, Osage Beach, MO 65065
Phone: 573-348-3001    Fax: 573-348-5998

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.