Pcmh Clinic - Medicare Primary Care in Bowling Green, MO

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Pcmh Clinic is a medicare enrolled primary clinic (Clinic/center - Rural Health) in Bowling Green, Missouri. The current practice location for Pcmh Clinic is 1015 W Adams St, Bowling Green, Missouri. For appointments, you can reach them via phone at (573) 324-5300. The mailing address for Pcmh Clinic is 2305 Georgia St, Louisiana, Missouri and phone number is (573) 754-4584.

Pcmh Clinic is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1124030424. 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) 324-5300.

Contact Information

Pcmh Clinic
1015 W Adams St
Bowling Green
MO 63334-1974
(573) 324-5300
(573) 324-6059

Map and Direction


Primary Care Clinic Profile

Full NamePcmh Clinic
SpecialityClinic/Center
Location1015 W Adams St, Bowling Green, Missouri
Authorized Official Name and PositionJustin Selle (CEO)
Authorized Official Contact5737545531
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Pcmh Clinic
2305 Georgia St
Louisiana
MO 63353-2559

Ph: (573) 754-4584		Pcmh Clinic
1015 W Adams St
Bowling Green
MO 63334-1974

Ph: (573) 324-5300

NPI Details:

NPI Number1124030424
Provider Enumeration Date08/13/2006
Last Update Date04/05/2016

Medicare PECOS Information:

Medicare PECOS PAC ID8123015518
Medicare Enrollment IDO20050407000376

Medical Identifiers

Medical identifiers for Pcmh Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124030424NPI-NPPES
CK7206OtherMORAILROAD MEDICARE PIN
502663305OtherMOMEDICARE/MEDICAID PROF CROSSOVER 1500
598209203MedicaidMO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
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. Pcmh Clinic acts as a billing entity for following providers:
Provider NameAaron M Trone
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1265403869
PECOS PAC ID: 0446163646
Enrollment ID: I20031112000272
Provider NameRobert Wayne Jackson
Provider TypePractitioner - Rheumatology
Provider IdentifiersNPI Number: 1730293705
PECOS PAC ID: 3476448952
Enrollment ID: I20040216000667
Provider NameJaeyoung Yoon
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1205885563
PECOS PAC ID: 7911972385
Enrollment ID: I20040830000337
Provider NameMiriam B Borden
Provider TypePractitioner - Rheumatology
Provider IdentifiersNPI Number: 1518966571
PECOS PAC ID: 2961463112
Enrollment ID: I20041021000642
Provider NameCarolyn J Tucker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821038993
PECOS PAC ID: 6002829892
Enrollment ID: I20060727000032
Provider NameUmar Daud
Provider TypePractitioner - Rheumatology
Provider IdentifiersNPI Number: 1053388942
PECOS PAC ID: 3476576703
Enrollment ID: I20070108000228
Provider NameMichael H Whitlock
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1760490585
PECOS PAC ID: 9133229479
Enrollment ID: I20070716000282
Provider NameCasey A Jennings
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1033300488
PECOS PAC ID: 2961575295
Enrollment ID: I20080721000302
Provider NameDaniel J Lamothe-jost
Provider TypePractitioner - Rheumatology
Provider IdentifiersNPI Number: 1689676512
PECOS PAC ID: 4385706829
Enrollment ID: I20081217000680
Provider NameLaurence J Kinsella
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1770591646
PECOS PAC ID: 6608906995
Enrollment ID: I20100614000096
Provider NamePatricia S Rose Liana
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124141114
PECOS PAC ID: 0547207482
Enrollment ID: I20101013001017
Provider NameHoward Jay Schneider
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1568664308
PECOS PAC ID: 6901965938
Enrollment ID: I20110516000362
Provider NameTracy M Fite
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1578697074
PECOS PAC ID: 9537254891
Enrollment ID: I20111219000017
Provider NameCole J Scherder
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1174844583
PECOS PAC ID: 8628290665
Enrollment ID: I20141107000183
Provider NameJeffrey Clark Goetz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528456043
PECOS PAC ID: 1658699129
Enrollment ID: I20150413001758
Provider NameStephanie Walker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275918856
PECOS PAC ID: 9032425046
Enrollment ID: I20150904000641
Provider NameTarrah Hickerson
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1184955700
PECOS PAC ID: 9830324003
Enrollment ID: I20150925000482
Provider NameAlicia C Shaw
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124563275
PECOS PAC ID: 0840572855
Enrollment ID: I20170127001537
Provider NameAustin G Hake
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1003077389
PECOS PAC ID: 5890946065
Enrollment ID: I20170622000488
Provider NameSharon G Harris
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1407829971
PECOS PAC ID: 7416919600
Enrollment ID: I20170711003463
Provider NameLori F Brown
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124548177
PECOS PAC ID: 0143580217
Enrollment ID: I20180209001444
Provider NameRachel M Harris
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225499866
PECOS PAC ID: 2466737481
Enrollment ID: I20180214001417
Provider NameMarlee A Keele
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013400357
PECOS PAC ID: 5092065029
Enrollment ID: I20180912001149
Provider NameKelly Miller
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235691619
PECOS PAC ID: 9436484177
Enrollment ID: I20190717001793
Provider NameLindsey Graviett
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1235584822
PECOS PAC ID: 4789956509
Enrollment ID: I20200506000783
Provider NameStacy Blum
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1952757007
PECOS PAC ID: 8325332992
Enrollment ID: I20200713002086
Provider NameLaura J Sills
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699804104
PECOS PAC ID: 1557779295
Enrollment ID: I20210420000216
Provider NameMatthew J Knudson
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1962609768
PECOS PAC ID: 3971749334
Enrollment ID: I20220713001543
Provider NamePaul A Conrad
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1528028214
PECOS PAC ID: 0648268052
Enrollment ID: I20221018001881

Reviews and Comments


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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.