Kathleen E Haycraft, NP | |
163 Medical Dr, Hannibal, MO 63401-6884 | |
(573) 248-3900 | |
Not Available |
Full Name | Kathleen E Haycraft |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 163 Medical Dr, Hannibal, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508874736 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 072208 (Missouri) | Primary |
Entity Name | Riverside Dermatology & Spa Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699262329 PECOS PAC ID: 7214282227 Enrollment ID: O20180615000066 |
Mailing Address | Practice Location Address |
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Kathleen E Haycraft, NP 163 Medical Dr, Hannibal, MO 63401-6884 Ph: (573) 719-1818 | Kathleen E Haycraft, NP 163 Medical Dr, Hannibal, MO 63401-6884 Ph: (573) 248-3900 |
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 |