Mary E Booth, DNP | |
1 Saint Joseph Dr, Centerville, IA 52544-9017 | |
(641) 856-8684 | |
(641) 548-5233 |
Full Name | Mary E Booth |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 5 Years |
Location | 1 Saint Joseph Dr, Centerville, Iowa |
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 |
---|---|---|---|
1003459132 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 2019031435 (Missouri) | Secondary |
363LF0000X | Nurse Practitioner - Family | A180897 (Iowa) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mercy Hospital Springfield | Springfield, MO | Hospital |
Mercy Hospital - Aurora | Aurora, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mercy Clinic Springfield Communities | 7416865845 | 933 |
Entity Name | Mercy Clinic Springfield Communities |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245277631 PECOS PAC ID: 7416865845 Enrollment ID: O20031104000060 |
Entity Name | Mercy Clinic Springfield Communities |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972771657 PECOS PAC ID: 7416865845 Enrollment ID: O20031218000354 |
Mailing Address | Practice Location Address |
---|---|
Mary E Booth, DNP 1 Saint Joseph Dr, Centerville, IA 52544-9017 Ph: (641) 437-3000 | Mary E Booth, DNP 1 Saint Joseph Dr, Centerville, IA 52544-9017 Ph: (641) 856-8684 |
Lauren Anne Drake, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1208 E Cross St, Centerville, IA 52544 Phone: 319-666-4224 | |
Jacquelyn Stajcar, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 19942 Saint Joseph Dr, Centerville, IA 52544 Phone: 641-856-8684 | |
Brittany Ann Enlow, ARNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1208 E Cross St, Centerville, IA 52544 Phone: 319-591-0781 | |
Mr. Kieron James Broderick, RN, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1208 E Cross St, Centerville, IA 52544 Phone: 816-477-7200 | |
Laurel Lea Eicher, RN, MSN, ACGNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1208 E Cross St, Centerville, IA 52544 Phone: 319-666-4224 Fax: 877-384-3106 | |
Krista Lynn Johnson, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 221 E State St, Centerville, IA 52544 Phone: 641-856-6471 Fax: 641-856-2603 |