Ivy C Tobin, | |
6500 Hospital Dr, Hannibal, MO 63401-6890 | |
(573) 629-3500 | |
(573) 629-3314 |
Full Name | Ivy C Tobin |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 3 Years |
Location | 6500 Hospital Dr, Hannibal, Missouri |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801553938 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2100X | Nurse Practitioner - Acute Care | 2021047405 (Missouri) | Primary |
163W00000X | Registered Nurse | 2013009873 (Missouri) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
University Of Missouri Health Care | Columbia, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ssm Health Care Group | 0143608372 | 690 |
Entity Name | Hannibal Regional Healthcare System Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003956095 PECOS PAC ID: 1254236300 Enrollment ID: O20031203000229 |
Entity Name | Ssm Health Care Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306589544 PECOS PAC ID: 0143608372 Enrollment ID: O20220531002655 |
Mailing Address | Practice Location Address |
---|---|
Ivy C Tobin, Po Box 1239, Hannibal, MO 63401-1239 Ph: (573) 629-3500 | Ivy C Tobin, 6500 Hospital Dr, Hannibal, MO 63401-6890 Ph: (573) 629-3500 |
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 |