Harmonic Medical Group Of Missouri, P.c. | |
222 E Dunklin St Ste 102 Jefferson City MO 65101-3168 | |
(314) 368-4224 | |
Not Available |
Full Name | Harmonic Medical Group Of Missouri, P.c. |
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Speciality | Family Medicine |
Location | 222 E Dunklin St Ste 102, Jefferson City, Missouri |
Authorized Official Name and Position | James Gera (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 3143684224 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Harmonic Medical Group Of Missouri, P.c. 119 S Main St Saint Charles MO 63301-2802 Ph: () - | Harmonic Medical Group Of Missouri, P.c. 222 E Dunklin St Ste 102 Jefferson City MO 65101-3168 Ph: (314) 368-4224 |
NPI Number | 1447012364 |
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Provider Enumeration Date | 01/25/2024 |
Last Update Date | 01/25/2024 |
Certification Date | 01/18/2024 |
Medicare PECOS PAC ID | 3678914751 |
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Medicare Enrollment ID | O20240508000439 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447012364 | NPI | - | NPPES |
Provider Name | Susan Marie Overkamp |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1841631579 PECOS PAC ID: 8921329459 Enrollment ID: I20150609000828 |
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