Prime Care Family Medicine, Inc | |
117 E Hickory St Neosho MO 64850 | |
(417) 451-4545 | |
(417) 451-4546 |
Full Name | Prime Care Family Medicine, Inc |
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Speciality | Family Medicine |
Location | 117 E Hickory St, Neosho, Missouri |
Authorized Official Name and Position | Craig L Pendergrass (OWNER) |
Authorized Official Contact | 4174514545 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Prime Care Family Medicine, Inc Po Box 220 Neosho MO 64850-0220 Ph: (417) 451-4545 | Prime Care Family Medicine, Inc 117 E Hickory St Neosho MO 64850 Ph: (417) 451-4545 |
NPI Number | 1487908117 |
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Provider Enumeration Date | 11/02/2012 |
Last Update Date | 11/02/2012 |
Medicare PECOS PAC ID | 5092960146 |
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Medicare Enrollment ID | O20130221000480 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487908117 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 110888 (Missouri) | Primary |
Provider Name | Craig L Pendergrass |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1700835469 PECOS PAC ID: 9537159801 Enrollment ID: I20050808000189 |
Provider Name | Carol L Monroe |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700835345 PECOS PAC ID: 1254364292 Enrollment ID: I20050912000471 |
Provider Name | Kimberly Nguyen |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215287750 PECOS PAC ID: 7214187202 Enrollment ID: I20121029000540 |
Provider Name | Jacob B Adkison |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538669189 PECOS PAC ID: 7618238775 Enrollment ID: I20180306001582 |
Provider Name | Lacy J Harrington |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376268755 PECOS PAC ID: 5890162978 Enrollment ID: I20221102000948 |
Access Family Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2209 Oak Ridge Dr, Neosho, MO 64850 Phone: 417-451-0977 Fax: 417-451-7094 | |
Freeman Neosho Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 336 S Jefferson St, Neosho, MO 64850 Phone: 417-455-4200 | |
Freeman Neosho Physician Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 336 S Jefferson St, Neosho, MO 64850 Phone: 417-347-6605 | |
Free Market Physician Hospital Services, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4040 La Questa Dr, Neosho, MO 64850 Phone: 417-283-4953 | |
Access Family Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1120 Carl Sweeney Rd, Neosho, MO 64850 Phone: 417-782-6200 Fax: 417-782-6210 | |
Access Family Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1111 Wornall St, Neosho, MO 64850 Phone: 417-782-6200 Fax: 417-782-6210 | |
Access Family Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 201 N Washington St, Neosho, MO 64850 Phone: 417-782-6200 Fax: 417-782-6210 |