| Moberly Medical Clinics Inc | |
|
1513 Union Ave Suite 2300 Moberly MO 65270-9407 | |
| (660) 263-8309 | |
| (660) 263-1948 |
| Full Name | Moberly Medical Clinics Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1513 Union Ave, Moberly, Missouri |
| Authorized Official Name and Position | Debbie Brewer (DIRECTOR OF PROVIDER ENROLLMENT) |
| Authorized Official Contact | 6154657626 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Moberly Medical Clinics Inc 1515 Union Ave Moberly MO 65270-9407 Ph: (660) 269-3191 | Moberly Medical Clinics Inc 1513 Union Ave Suite 2300 Moberly MO 65270-9407 Ph: (660) 263-8309 |
| NPI Number | 1336135607 |
|---|---|
| Provider Enumeration Date | 09/22/2005 |
| Last Update Date | 09/13/2021 |
| Medicare PECOS PAC ID | 8426031592 |
|---|---|
| Medicare Enrollment ID | O20040610000009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336135607 | NPI | - | NPPES |
| 508262003 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Dana P Valencia |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1902868185 PECOS PAC ID: 9830080480 Enrollment ID: I20040726000919 |
| Provider Name | Craig E Mccoy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053312017 PECOS PAC ID: 4587617717 Enrollment ID: I20050613000933 |
| Provider Name | David P Brummett |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720075823 PECOS PAC ID: 0648292656 Enrollment ID: I20051219000659 |
| Provider Name | Daniel S Hoyt |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1366403800 PECOS PAC ID: 7012925449 Enrollment ID: I20060328000012 |
| Provider Name | Sarmistha Bhalla |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083791792 PECOS PAC ID: 4183770589 Enrollment ID: I20090928000319 |
| Provider Name | Daniel R Gilbert |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1316018815 PECOS PAC ID: 9537118062 Enrollment ID: I20120124000025 |
| Provider Name | Phyllis J Prier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629454095 PECOS PAC ID: 9032424098 Enrollment ID: I20150819009245 |
| Provider Name | Kerri Elizabeth Woodson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063990356 PECOS PAC ID: 6709138647 Enrollment ID: I20181004001032 |
| Provider Name | Joshua Delozier |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598320558 PECOS PAC ID: 8426384876 Enrollment ID: I20190724000096 |
| Provider Name | John Vani |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1083727077 PECOS PAC ID: 6204880990 Enrollment ID: I20220516000429 |
| Provider Name | Saeed Arefanian |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1821441643 PECOS PAC ID: 6901134253 Enrollment ID: I20230725002003 |
Family Health Center Of Boone County Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1517 Union Ave Ste C, Moberly, MO 65270 Phone: 448-853-8937 Fax: 573-607-2885 | |
Foster Family Medicine & Associates Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 300 N Morley St, Moberly, MO 65270 Phone: 660-263-1513 Fax: 660-263-1795 | |
Randolph County Health Department Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1319 E Highway 24, Moberly, MO 65270 Phone: 660-263-6643 Fax: 660-263-0333 | |
Moberly Hospital Company Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 N Morley St, Ste G/h, Moberly, MO 65270 Phone: 660-263-8400 | |
Moberly Obgyn Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1517 Union Ave Ste C, Moberly, MO 65270 Phone: 660-263-6500 | |
Randolph County Health Department Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1319 E Highway 24, Moberly, MO 65270 Phone: 660-263-6643 Fax: 660-263-0333 |