Julie Henson, | |
Bolivar Family Care Center, 1240 North Butterfield Road, Bolivar, MO 65613 | |
(417) 326-6021 | |
Not Available |
Full Name | Julie Henson |
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Gender | Female |
Speciality | Family Medicine |
Location | Bolivar Family Care Center, Bolivar, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477912731 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 1679 (Nebraska) | Secondary |
207Q00000X | Family Medicine | 2022044990 (Missouri) | Primary |
Entity Name | Citizens Memorial Healthcare |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568566131 PECOS PAC ID: 4183528169 Enrollment ID: O20040315001374 |
Mailing Address | Practice Location Address |
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Julie Henson, Bolivar Family Care Center, 1240 North Butterfield Road, Bolivar, MO 65613 Ph: () - | Julie Henson, Bolivar Family Care Center, 1240 North Butterfield Road, Bolivar, MO 65613 Ph: (417) 326-6021 |
Kristopher J Kaufmann, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1125 N Butterfield Rd, Bolivar, MO 65613 Phone: 417-326-7676 Fax: 417-326-3939 | |
Mrs. Laura C Vance, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1240 N Butterfield Rd, Bolivar, MO 65613 Phone: 417-326-6021 Fax: 417-326-6347 | |
George J Heinz Iii, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1500 N. Oakland Ave., Bolivar, MO 65613 Phone: 417-328-6631 | |
Juris Peteris Simanis, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1155 W. Parkview Street, Suite 2d, Bolivar, MO 65613 Phone: 417-777-2663 Fax: 417-777-2666 | |
Dr. Kayla Kittle, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1240 N Butterfield Rd, Bolivar, MO 65613 Phone: 417-326-6021 | |
Mr. Ronald L Vance, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1240 N Butterfield Rd, Bolivar, MO 65613 Phone: 417-326-6021 Fax: 417-326-6347 |