Michele R Thomazin, RN, FNP-C | |
1317 W Broadway St, Bolivar, MO 65613-1814 | |
(417) 326-7250 | |
(417) 326-2766 |
Full Name | Michele R Thomazin |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 1317 W Broadway St, Bolivar, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528158474 | NPI | - | NPPES |
200905 | Other | MO | BCMO |
427479100 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 131629 (Missouri) | Primary |
Entity Name | Polk County Health Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265556849 PECOS PAC ID: 6204186513 Enrollment ID: O20180907001056 |
Mailing Address | Practice Location Address |
---|---|
Michele R Thomazin, RN, FNP-C 1317 W Broadway St, Bolivar, MO 65613-1814 Ph: (417) 326-7250 | Michele R Thomazin, RN, FNP-C 1317 W Broadway St, Bolivar, MO 65613-1814 Ph: (417) 326-7250 |
Kyla Inman, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1240 N Butterfield Rd, Bolivar, MO 65613 Phone: 417-326-6021 | |
Oma L Shelton, CFNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2230 S Springfield Ave, Suite H-j, Bolivar, MO 65613 Phone: 417-777-4800 | |
Kaylee Jaynelle Ankrom, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1300 N Oakland Ave, Bolivar, MO 65613 Phone: 417-326-7676 | |
Courtney Marie Brummel, MSN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1120 S Springfield Ave, Bolivar, MO 65613 Phone: 417-326-7814 | |
Olivia Jenae Cumley, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1240 N Butterfield Rd, Bolivar, MO 65613 Phone: 417-326-6021 Fax: 417-326-6347 | |
Ms. Carol D Curless, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3817 S Springfield Ave Ste 120, Bolivar, MO 65613 Phone: 417-730-3508 | |
Karona Paschke, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1155 W Parkview St Ste 1c, Bolivar, MO 65613 Phone: 417-326-7246 |