Joseph William Stafford Jr, is a
Clinic/center - Rural Health physician based in West Plains, Missouri. Joseph William Stafford Jr is licensed to practice in * (Not Available) (license number ) and his current practice location is 312 N Kentucky Ave, West Plains, Missouri. He can be reached at his office (for appointments etc.) via phone at
(417) 257-7076.
NPI number for Joseph William Stafford Jr is 1528064102 and his current mailing address is 312 N Kentucky Ave, West Plains, Missouri. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1528064102.
Physician's Profile
| Full Name | Joseph William Stafford Jr |
|---|
| Gender | Male |
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| Speciality | Clinic/center - Rural Health |
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| Location | 312 N Kentucky Ave, West Plains, Missouri |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1528064102
- Provider Enumeration Date: 06/28/2005
- Last Update Date: 09/06/2012
Medical Identifiers
Medical identifiers for Joseph William Stafford Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1528064102 | NPI | - | NPPES |
| 202169405 | Medicaid | MO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2080A0000X | Pediatrics - Adolescent Medicine | R3F13 (Missouri) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | 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. Joseph William Stafford Jr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Joseph William Stafford Jr,
312 N Kentucky Ave,
West Plains, MO 65775-2073
Ph: (417) 257-7076 | Joseph William Stafford Jr,
312 N Kentucky Ave,
West Plains, MO 65775-2073
Ph: (417) 257-7076 |
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