Mrs Brenda Kay Gordon, NP | |
340 Kelley Pkwy, Mexico, MO 65265-3811 | |
(573) 582-1234 | |
(573) 582-1212 |
Full Name | Mrs Brenda Kay Gordon |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 340 Kelley Pkwy, Mexico, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497149652 | NPI | - | NPPES |
1497149652 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 209012239 (Illinois) | Secondary |
363LF0000X | Nurse Practitioner - Family | 2014035652 (Missouri) | Primary |
Entity Name | East Central Missouri Behavioral Health Services, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144293549 PECOS PAC ID: 5395659403 Enrollment ID: O20031113000501 |
Mailing Address | Practice Location Address |
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Mrs Brenda Kay Gordon, NP 340 Kelley Pkwy, Mexico, MO 65265-3811 Ph: (573) 582-1234 | Mrs Brenda Kay Gordon, NP 340 Kelley Pkwy, Mexico, MO 65265-3811 Ph: (573) 582-1234 |
Catherine Teresa Browning, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 340 Kelley Pkwy, Mexico, MO 65265 Phone: 573-582-1234 Fax: 573-582-1212 | |
Ebony Evans, NP-FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 734 W Monroe St, Mexico, MO 65265 Phone: 314-853-9439 | |
Regina Marie Hill, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 809 Medical Park Dr Ste 101, Mexico, MO 65265 Phone: 573-581-8590 Fax: 573-473-3794 | |
Mrs. Robin Allen, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 340 Kelley Pkwy, Mexico, MO 65265 Phone: 573-558-1234 | |
Andrea Leigh Feger, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 600 Medical Park Dr, Mexico, MO 65265 Phone: 573-581-8500 Fax: 573-581-5397 | |
Mrs. Tammy Doerhoff, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1051 Old Farm Rd E, Mexico, MO 65265 Phone: 573-581-2455 Fax: 573-581-2702 |