Lynda G Carlyle, FNP | |
202 S West St, Concordia, MO 64020-9643 | |
(660) 463-2267 | |
(573) 335-6724 |
Full Name | Lynda G Carlyle |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 202 S West St, Concordia, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831412147 | NPI | - | NPPES |
595985805 | Medicaid | MO | |
595956103 | Medicaid | MO | |
43747016 | Other | BCBS | |
1831412147 | Medicaid | MO | |
540568508 | Medicaid | MO | |
43747026 | Other | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 2010005627 (Missouri) | Primary |
Entity Name | Missouri Medical Providers Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043817323 PECOS PAC ID: 2365855913 Enrollment ID: O20201229000683 |
Mailing Address | Practice Location Address |
---|---|
Lynda G Carlyle, FNP 2215 Broadway St, Cape Girardeau, MO 63701-4403 Ph: (573) 271-5317 | Lynda G Carlyle, FNP 202 S West St, Concordia, MO 64020-9643 Ph: (660) 463-2267 |
Mrs. Fawn Zimmer, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 206 N Bismark St Ste A, Concordia, MO 64020 Phone: 877-344-3572 Fax: 866-228-4492 | |
Jennifer R Rucker, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 202 S West St, Concordia, MO 64020 Phone: 604-632-2267 | |
Erin Sprigg, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 905 S Main St, Concordia, MO 64020 Phone: 660-463-7966 |