Clay Owen Thornburg, NP - Medicare Nurse Practitioner in Hannibal, MO

Clay Owen Thornburg, NP is a medicare enrolled "Nurse Practitioner - Adult Health" in Hannibal, Missouri. He graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Blessing Hospital and his current practice location is 100 Medical Dr, Hannibal, Missouri. You can reach out to his office (for appointments etc.) via phone at (573) 221-5250.

Clay Owen Thornburg is licensed to practice in Missouri (license number 2020023348) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1710596424.

Contact Information

Clay Owen Thornburg, NP
100 Medical Dr,
Hannibal, MO 63401-6877
(573) 221-5250
(573) 231-3713

Map and Direction




Provider's Profile

Full NameClay Owen Thornburg
GenderMale
SpecialityNurse Practitioner
Experience4 Years
Location100 Medical Dr, Hannibal, Missouri
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Clay Owen Thornburg graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1710596424
  • Provider Enumeration Date: 07/28/2020
  • Last Update Date: 07/25/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3274818455
  • Enrollment ID: I20220325001979

Medical Identifiers

Medical identifiers for Clay Owen Thornburg such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710596424NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health 2020023348 (Missouri)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Blessing HospitalQuincy, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Blessing Hospital3072422534349

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Clay Owen Thornburg allows following entities to bill medicare on his behalf.
Entity NameHannibal Clinic Operations, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427037225
PECOS PAC ID: 9931094182
Enrollment ID: O20040217001075
Entity NameBlessing Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114471737
PECOS PAC ID: 3072422534
Enrollment ID: O20171221000766

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Clay Owen Thornburg is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice 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

Reviews and Comments


Nurse Practitioner Nurses in Hannibal, MO

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

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.