Dr Carolyn Pearl Prater, DO | |
530 S Maiden Ln, Joplin, MO 64801-3084 | |
(417) 659-9100 | |
(417) 659-9101 |
Full Name | Dr Carolyn Pearl Prater |
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Gender | Female |
Speciality | Pediatrics |
Location | 530 S Maiden Ln, Joplin, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821203340 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 106608 (Missouri) | Primary |
Entity Name | Ozark Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790796878 PECOS PAC ID: 4789588088 Enrollment ID: O20050223000110 |
Mailing Address | Practice Location Address |
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Dr Carolyn Pearl Prater, DO 4301 Doniphan Dr, Neosho, MO 64850-9120 Ph: (417) 451-9450 | Dr Carolyn Pearl Prater, DO 530 S Maiden Ln, Joplin, MO 64801-3084 Ph: (417) 659-9100 |
Krishnamraju Kosuru, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 3126 S Jackson Ave, Suite 100, Joplin, MO 64804 Phone: 417-556-3416 Fax: 417-556-3417 | |
Kimra Ross, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1030 Mcintosh Cir, Ste 2, Joplin, MO 64804 Phone: 417-782-9393 Fax: 417-782-4659 | |
Rayni L Teeter, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3126 Wisconsin Ave, Joplin, MO 64804 Phone: 417-626-7337 Fax: 417-731-3082 | |
Kelly Jo Meier, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2719 E 32nd St, Joplin, MO 64804 Phone: 417-782-5522 Fax: 417-782-5866 | |
Lindsey Rae Mcclintick, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 1030 Mcintosh Cir Ste 1, Joplin, MO 64804 Phone: 417-347-8750 | |
Caitlin Busch, APRN Pediatrics Medicare: Medicare Enrolled Practice Location: 202 E 50th St, Joplin, MO 64804 Phone: 417-556-3400 | |
Dr. Kelly S Gorman, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1030 Mcintosh Cir, Ste 1, Joplin, MO 64804 Phone: 417-347-8750 Fax: 417-347-8788 |