| Sacry Family Medicine | |
|
433 S Garrison Ave Carthage MO 64836-1749 | |
| (417) 359-8646 | |
| Not Available |
| Full Name | Sacry Family Medicine |
|---|---|
| Speciality | Clinic/Center |
| Location | 433 S Garrison Ave, Carthage, Missouri |
| Authorized Official Name and Position | Roger Andrew Sacry (PRESIDENT) |
| Authorized Official Contact | 4173882746 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sacry Family Medicine 433 S Garrison Ave Carthage MO 64836-1749 Ph: (417) 359-8646 | Sacry Family Medicine 433 S Garrison Ave Carthage MO 64836-1749 Ph: (417) 359-8646 |
| NPI Number | 1265684476 |
|---|---|
| Provider Enumeration Date | 10/21/2008 |
| Last Update Date | 01/25/2016 |
| Medicare PECOS PAC ID | 0840351649 |
|---|---|
| Medicare Enrollment ID | O20081212000032 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265684476 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 1999134577 (Missouri) | Primary |
| Provider Name | Roger A Sacry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528009529 PECOS PAC ID: 9739164021 Enrollment ID: I20040621001718 |
| Provider Name | Delores A Vandergrift |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790723260 PECOS PAC ID: 0749246213 Enrollment ID: I20041207000022 |
| Provider Name | Michele L Callahan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609839430 PECOS PAC ID: 8022025238 Enrollment ID: I20071218000178 |
| Provider Name | Katherine E Laytham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750995759 PECOS PAC ID: 0941611818 Enrollment ID: I20201125000341 |
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