Dr Craig L Pendergrass, DO in Neosho, MO - Medicare Family Practice

Dr Craig L Pendergrass, DO is a medicare enrolled "Family Medicine" physician in Neosho, Missouri. He went to R Franklin University Of Med & Sci/chicago Medical School and graduated in 1994 and has 30 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Sgoh Acquisition Inc and his current practice location is 117 E Hickory St, Neosho, Missouri. You can reach out to his office (for appointments etc.) via phone at (417) 451-4545.

Dr Craig L Pendergrass is licensed to practice in Missouri (license number 110888) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1700835469.

Contact Information

	Dr Craig L Pendergrass, DO
	117 E Hickory St, Neosho, MO 64850-1806
	(417) 451-4545
	(417) 451-4546

Map and Direction

Physician's Profile

Full Name	Dr Craig L Pendergrass
Gender	Male
Speciality	Family Practice
Experience	30 Years
Location	117 E Hickory St, Neosho, Missouri
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Craig L Pendergrass attended and graduated from R Franklin University Of Med & Sci/chicago Medical School in 1994

NPI Data:

NPI Number: 1700835469
Provider Enumeration Date: 05/09/2006
Last Update Date: 08/17/2023

Medicare PECOS Information:

PECOS PAC ID: 9537159801
Enrollment ID: I20050808000189

Medical Identifiers

Medical identifiers for Dr Craig L Pendergrass such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700835469	NPI	-	NPPES
110571	Other	MO	ANTHEM
P00248178	Other		RR MEDICARE
100296690C	Medicaid	KS
248916405	Medicaid	MO
100183590A	Medicaid	OK

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	110888 (Missouri)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Integrity Home Care + Hospice	Springfield, MO	Home health agency
Phoenix Home Care	Springfield, MO	Home health agency
Amedisys Home Health Of Missouri	Joplin, MO	Home health agency
Avalon Hospice	Joplin, MO	Hospice
Ozarks Community Hospital Of Gravette	Gravette, AR	Hospital
Freeman Neosho Hospital	Neosho, MO	Hospital
Freeman Health System - Freeman West	Joplin, MO	Hospital
Mercy Hospital Joplin	Joplin, MO	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Sgoh Acquisition Inc	5092616276	72

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Craig L Pendergrass allows following entities to bill medicare on his behalf.

Entity Name	Sgoh Acquisition Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114924768 PECOS PAC ID: 5092616276 Enrollment ID: O20040205000647

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Craig L Pendergrass is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Craig L Pendergrass, DO Po Box 220, Neosho, MO 64850-0220 Ph: (417) 451-4545	Dr Craig L Pendergrass, DO 117 E Hickory St, Neosho, MO 64850-1806 Ph: (417) 451-4545

Reviews and Comments

Family Medicine Doctors in Neosho, MO

Charles Henry Bentlage, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 4301 Doniphan Dr, Neosho, MO 64850 Phone: 417-451-9450
Walter Hargett, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2550 Lusk Dr, Neosho, MO 64850 Phone: 417-451-2060 Fax: 417-451-6214
Dr. Joseph Kirk Sheppard, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 4040 La Questa Dr., Neosho, MO 64850 Phone: 417-283-4953 Fax: 417-283-4954
Reona Kenai Sowers, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2550 Lusk Dr, Neosho, MO 64850 Phone: 417-455-7219
Dr. Steven K Younger, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2550 Lusk Dr, Neosho, MO 64850 Phone: 417-451-2060 Fax: 417-451-2164
Dr. Barbara H Miller, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 336 S Jefferson St, Neosho, MO 64850 Phone: 417-455-4200 Fax: 417-455-4314
Rebecca Megan Broadbent, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 113 W Hickory St, Neosho, MO 64850 Phone: 417-451-1234

Dr Craig L Pendergrass, DO - Medicare Family Practice in Neosho, MO