| PC Medical Centers LLC | |
|
5 Doctors Park Cape Girardeau MO 63703-4927 | |
| (573) 335-9188 | |
| (573) 335-1838 |
| Full Name | PC Medical Centers LLC |
|---|---|
| Speciality | General Practice |
| Location | 5 Doctors Park, Cape Girardeau, Missouri |
| Authorized Official Name and Position | Gregory W Pursley (OWNER) |
| Authorized Official Contact | 5735871223 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| PC Medical Centers LLC 5 Doctors Park Cape Girardeau MO 63703-4927 Ph: (573) 335-9188 | PC Medical Centers LLC 5 Doctors Park Cape Girardeau MO 63703-4927 Ph: (573) 335-9188 |
| NPI Number | 1619581287 |
|---|---|
| Provider Enumeration Date | 09/01/2020 |
| Last Update Date | 09/01/2020 |
| Certification Date | 09/01/2020 |
| Medicare PECOS PAC ID | 6103238936 |
|---|---|
| Medicare Enrollment ID | O20201218001233 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619581287 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (NU) | Primary |
| Provider Name | Aaron T Andrews |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1013040641 PECOS PAC ID: 7113977075 Enrollment ID: I20050127000984 |
| Provider Name | Gregory W Pursley |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1194883975 PECOS PAC ID: 5496858235 Enrollment ID: I20070315000032 |
| Provider Name | Carrera Constance Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548793011 PECOS PAC ID: 8527345859 Enrollment ID: I20170515001195 |
| Provider Name | Mason Mcgahey |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1386599389 PECOS PAC ID: 5496221269 Enrollment ID: I20260420000394 |
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