Clay Owen Thornburg, NP | |
100 Medical Dr, Hannibal, MO 63401-6877 | |
(573) 221-5250 | |
(573) 231-3713 |
Full Name | Clay Owen Thornburg |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 4 Years |
Location | 100 Medical Dr, Hannibal, Missouri |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710596424 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | 2020023348 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Blessing Hospital | Quincy, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Blessing Hospital | 3072422534 | 349 |
Entity Name | Hannibal Clinic Operations, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427037225 PECOS PAC ID: 9931094182 Enrollment ID: O20040217001075 |
Entity Name | Blessing Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114471737 PECOS PAC ID: 3072422534 Enrollment ID: O20171221000766 |
Mailing Address | Practice Location Address |
---|---|
Clay Owen Thornburg, NP 602 S Home St, Palmyra, MO 63461-1747 Ph: (573) 822-8530 | Clay Owen Thornburg, NP 100 Medical Dr, Hannibal, MO 63401-6877 Ph: (573) 221-5250 |
Elizabeth Anne Radcliff, MSN, AGACNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6000 Hospital Dr, Hannibal, MO 63401 Phone: 573-248-5211 Fax: 573-248-5210 | |
Mrs. Terry Shannon Thomas, APRN-FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 Medical Dr, Hannibal, MO 63401 Phone: 573-221-5250 Fax: 573-231-3751 | |
Melissa L Reynolds, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6500 Hospital Dr, Hannibal, MO 63401 Phone: 573-629-3440 Fax: 573-629-3423 | |
Lynn M Shima, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6500 Hospital Dr, Hannibal, MO 63401 Phone: 573-629-3300 Fax: 573-629-3314 | |
Ms. Kim M Peters, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Medical Dr, Hannibal, MO 63401 Phone: 573-231-3116 Fax: 573-231-3714 | |
Diane Berry Slough, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6500 Hospital Dr, Hannibal, MO 63401 Phone: 573-629-3440 Fax: 573-629-3416 | |
Torishia Greving, RN, MSN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6500 Hospital Dr, Hannibal, MO 63401 Phone: 573-629-3330 Fax: 573-629-3336 |