Dr Mary K Pendergrass, DO in West Plains, MO

Dr Mary K Pendergrass, DO is a medicare enrolled "Family Medicine" physician in West Plains, Missouri. Her current practice location is 181 N Kentucky Ave Ste 100, West Plains, Missouri. You can reach out to her office (for appointments etc.) via phone at (417) 257-5911.

Dr Mary K Pendergrass is licensed to practice in Missouri (license number 2014030982) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1457616872.

Contact Information

	Dr Mary K Pendergrass, DO
	181 N Kentucky Ave Ste 100, West Plains, MO 65775-2092
	(417) 257-5911
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Mary K Pendergrass
Gender	Female
Speciality	Family Medicine
Location	181 N Kentucky Ave Ste 100, West Plains, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1457616872
Provider Enumeration Date: 07/11/2012
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 5193966406
Enrollment ID: I20140929002487

Medical Identifiers

Medical identifiers for Dr Mary K Pendergrass such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457616872	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	2014030982 (Missouri)	Primary

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 Mary K 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 Mary K Pendergrass, DO 181 N Kentucky Ave Ste 100, West Plains, MO 65775-2092 Ph: (417) 257-5911	Dr Mary K Pendergrass, DO 181 N Kentucky Ave Ste 100, West Plains, MO 65775-2092 Ph: (417) 257-5911

Reviews and Comments

Family Medicine Doctors in West Plains, MO

Dr. Leslie Erin Barr, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 805 N Kentucky Ave, West Plains, MO 65775 Phone: 417-256-2111 Fax: 417-256-4858
Shannon Nicole Marsden, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1307 Porter Wagoner Blvd, West Plains, MO 65775 Phone: 417-255-8645
Dr. Thomas Henry Benton, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1801 E State Route K, West Plains, MO 65775 Phone: 417-257-2454
Druery J Dixon, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 181 N Kentucky Ave, Suite 100, West Plains, MO 65775 Phone: 417-257-5911 Fax: 417-257-5913
Aaron Lee Mills, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 805 N Kentucky Ave, West Plains, MO 65775 Phone: 417-256-2111 Fax: 417-256-4858
Dr. Douglas A Crase, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 805 N Kentucky Ave, West Plains, MO 65775 Phone: 417-256-2111
Curtis L Horstman, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 805 N Kentucky Ave, West Plains, MO 65775 Phone: 417-256-2111 Fax: 417-256-4858

Dr Mary K Pendergrass, DO - Medicare Family Medicine in West Plains, MO