| Jacob (jake) William Condren, PA-C | |
|
1155 W Parkview St, Suite 2d, Bolivar, MO 65613-8279 | |
| (417) 777-2663 | |
| (417) 777-2666 |
| Full Name | Jacob (jake) William Condren |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 8 Years |
| Location | 1155 W Parkview St, Bolivar, 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 |
|---|---|---|---|
| 1265971865 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Citizens Memorial Hospital | Bolivar, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Citizens Memorial Healthcare | 4183528169 | 101 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob (jake) William Condren, PA-C 1500 N Oakland Ave, Bolivar, MO 65613-3011 Ph: (417) 326-6000 | Jacob (jake) William Condren, PA-C 1155 W Parkview St, Suite 2d, Bolivar, MO 65613-8279 Ph: (417) 777-2663 |
Mr. Scott Leslie Dennis, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1500 North Oakland Ave, Citizens Memorial Hospital, Bolivar, MO 65613 Phone: 417-326-6000 | |
Chad Lee Carrel, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1551 N. Oakland, Bolivar, MO 65613 Phone: 417-326-8700 Fax: 417-777-7881 | |
Mrs. Shannon M. Hauschildt, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1155 W. Parkview St., Suite 2 D, Bolivar, MO 65613 Phone: 417-777-2663 Fax: 417-777-2666 | |
Stephanie Marie Aug, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1500 N Oakland Ave, Bolivar, MO 65613 Phone: 417-326-6000 | |
Retha Marceleen Melton, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1155 W. Parkview St, Suite 2d, Bolivar, MO 65613 Phone: 417-777-2663 Fax: 417-777-2666 | |
Anjali M Edson, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1501 N Oakland Ave, Bolivar, MO 65613 Phone: 417-326-7200 Fax: 417-326-7201 |