Mr Dwight Moody Jones Jr, NP-BC | |
109 East St, Clarence, MO 63437-1902 | |
(660) 699-2124 | |
(660) 699-3534 |
Full Name | Mr Dwight Moody Jones Jr |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 11 Years |
Location | 109 East St, Clarence, 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 |
---|---|---|---|
1952675381 | NPI | - | NPPES |
2013028349 | Other | MO | STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | 2012006982 (Missouri) | Secondary |
363LF0000X | Nurse Practitioner - Family | 2013028349 (Missouri) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Jefferson City Medical Group Pc | 1850371089 | 100 |
Entity Name | Jefferson City Medical Group Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336189398 PECOS PAC ID: 1850371089 Enrollment ID: O20040908000924 |
Entity Name | Cep America Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619332046 PECOS PAC ID: 6608056171 Enrollment ID: O20150312000325 |
Mailing Address | Practice Location Address |
---|---|
Mr Dwight Moody Jones Jr, NP-BC 5471 Dr Martin Luther King Dr, Saint Louis, MO 63112-4265 Ph: (314) 367-5820 | Mr Dwight Moody Jones Jr, NP-BC 109 East St, Clarence, MO 63437-1902 Ph: (660) 699-2124 |
Mrs. Allison Peoples Shaw, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 N Center St, Clarence, MO 63437 Phone: 660-699-2240 | |
Carol Timmons, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 109 N Shelby St, Po Box 132, Clarence, MO 63437 Phone: 573-469-2084 | |
Patsy J Hudson, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 109 East St, Clarence, MO 63437 Phone: 660-699-2178 |