Shellie Kathleen Faris, MD | |
2016 S Main St, Maryville, MO 64468-2655 | |
(660) 562-2525 | |
(660) 562-4303 |
Full Name | Shellie Kathleen Faris |
---|---|
Gender | Female |
Speciality | General Surgery |
Experience | 22 Years |
Location | 2016 S Main St, Maryville, Missouri |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174743884 | NPI | - | NPPES |
1912965328 | Medicaid | IA | |
206341000 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 2007007765 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mary Lanning Healthcare | Hastings, NE | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The Mary Lanning Memorial Hospital Association | 4587575550 | 118 |
Entity Name | The Mary Lanning Memorial Hospital Association |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356656417 PECOS PAC ID: 4587575550 Enrollment ID: O20101007000817 |
Mailing Address | Practice Location Address |
---|---|
Shellie Kathleen Faris, MD 114 E South Hills Dr, Maryville, MO 64468-2659 Ph: (660) 562-2525 | Shellie Kathleen Faris, MD 2016 S Main St, Maryville, MO 64468-2655 Ph: (660) 562-2525 |
Dr. James E. Bradley, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 2016 S Main St, Maryville, MO 64468 Phone: 660-562-2525 Fax: 660-562-7993 | |
Dr. Manuel W. Runez, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 2016 S Main St, Maryville, MO 64468 Phone: 660-562-2525 Fax: 660-562-7993 | |
Jack L Forest, D.O. Surgery Medicare: Medicare Enrolled Practice Location: 2016 S Main St, Maryville, MO 64468 Phone: 660-562-2600 Fax: 660-562-7911 |