Katrina Renee Lock, FNP | |
26136 Us Highway 59, Fairfax, MO 64446 | |
(660) 686-2211 | |
(660) 686-2618 |
Full Name | Katrina Renee Lock |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 26136 Us Highway 59, Fairfax, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245505585 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 2017021975 (Missouri) | Primary |
Entity Name | Macon County Samaritan Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548215106 PECOS PAC ID: 1456261395 Enrollment ID: O20040121000179 |
Entity Name | Skaggs Community Hospital Association |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861423683 PECOS PAC ID: 5092624320 Enrollment ID: O20040811000689 |
Entity Name | Lake Regional Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053581454 PECOS PAC ID: 9133026776 Enrollment ID: O20070511000147 |
Entity Name | Community Hospital Association |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1942279500 PECOS PAC ID: 1557316783 Enrollment ID: O20081126000543 |
Entity Name | Camden Emergency Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003181637 PECOS PAC ID: 2961665369 Enrollment ID: O20120523000037 |
Mailing Address | Practice Location Address |
---|---|
Katrina Renee Lock, FNP 26136 Us Highway 59, Fairfax, MO 64446-9105 Ph: (660) 686-2211 | Katrina Renee Lock, FNP 26136 Us Highway 59, Fairfax, MO 64446 Ph: (660) 686-2211 |
Rebecca Heits, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 26136 Us Highway 59, Fairfax, MO 64446 Phone: 660-686-2211 | |
Jessica Bowman, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 26136 Us Highway 59, Fairfax, MO 64446 Phone: 660-686-2211 | |
Ms. Allison Godchaux, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 405 E Main St, Fairfax, MO 64446 Phone: 660-686-2211 | |
Theresa Lee Crawford, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 26136 Hwy 59, Fairfax, MO 64446 Phone: 660-686-2211 Fax: 660-686-2522 | |
Miss Melissa Sue Masonbrink, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 26136 Us Highway 59, Fairfax, MO 64446 Phone: 660-686-2211 Fax: 660-686-2618 | |
Ms. Condra M Anderson, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 26136 Us Highway 59, Fairfax, MO 64446 Phone: 660-686-2211 Fax: 660-686-2618 |