Ms Tracy Alaine Godfrey, MD | |
6151 N Main Street Rd, Webb City, MO 64870-8189 | |
(417) 781-0408 | |
(417) 556-5377 |
Full Name | Ms Tracy Alaine Godfrey |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 6151 N Main Street Rd, Webb City, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104828714 | NPI | - | NPPES |
100179800A | Medicaid | OK | |
100405220D | Medicaid | KS | |
204685424 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 115438 (Missouri) | Primary |
Entity Name | Ozark Tri-county Health Care Consortium |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265428791 PECOS PAC ID: 8123918257 Enrollment ID: O20040330001501 |
Mailing Address | Practice Location Address |
---|---|
Ms Tracy Alaine Godfrey, MD 6151 N Main Street Rd, Webb City, MO 64870-8189 Ph: (417) 781-0408 | Ms Tracy Alaine Godfrey, MD 6151 N Main Street Rd, Webb City, MO 64870-8189 Ph: (417) 781-0408 |
Dr. Justin Keith Hamlin, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1001 W Daugherty St, Webb City, MO 64870 Phone: 417-717-2017 Fax: 417-717-2134 | |
Russell L. Kennedy, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6151 N Main Street Rd, Webb City, MO 64870 Phone: 417-781-0408 Fax: 417-556-5377 | |
Glen W. King, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6151 N Main Street Rd, Webb City, MO 64870 Phone: 417-781-0408 Fax: 417-556-5377 | |
Mary L. Kennedy, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6151 N Main Street Rd, Webb City, MO 64870 Phone: 417-781-0408 Fax: 417-556-5377 |