Angie J Whitesell, MD | |
1307 Main Street, Lockwood, MO 65682 | |
(417) 232-4560 | |
(417) 232-4611 |
Full Name | Angie J Whitesell |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 23 Years |
Location | 1307 Main Street, Lockwood, Missouri |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689679391 | NPI | - | NPPES |
431560263 | Other | TRICARE WEST | |
207274408 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 2003014018 (Missouri) | Primary |
207V00000X | Obstetrics & Gynecology | 2003014018 (Missouri) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Phoenix Home Care | Springfield, MO | Home health agency |
Mercy Hospital Springfield | Springfield, MO | Hospital |
Mercy Hospital Carthage | Carthage, MO | Hospital |
Cox Medical Centers | Springfield, MO | Hospital |
Good Shepherd Community Care And Rehabilitation | Lockwood, MO | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mercy Clinic Springfield Communities | 7416865845 | 933 |
Entity Name | Mercy Clinic Springfield Communities |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245277631 PECOS PAC ID: 7416865845 Enrollment ID: O20031104000060 |
Entity Name | Mercy Clinic Springfield Communities |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972771657 PECOS PAC ID: 7416865845 Enrollment ID: O20031218000354 |
Mailing Address | Practice Location Address |
---|---|
Angie J Whitesell, MD 1307 N Main St, Nevada, MO 64772-1129 Ph: (417) 232-4560 | Angie J Whitesell, MD 1307 Main Street, Lockwood, MO 65682 Ph: (417) 232-4560 |
Dr. Beverly A. Holmes, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1307 S Main St, Route 3, Box 25, Lockwood, MO 65682 Phone: 417-232-4560 Fax: 417-232-4611 | |
Dr. Travis Tyler Hawks, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1307 S Main St, Lockwood, MO 65682 Phone: 417-232-4560 |