Michelle E Petersen, RN, CS, FNP | |
1608 E Evergreen St, Suite A, Cameron, MO 64429-2400 | |
(816) 632-5424 | |
(816) 632-7094 |
Full Name | Michelle E Petersen |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 25 Years |
Location | 1608 E Evergreen St, Cameron, Missouri |
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 |
---|---|---|---|
1811972458 | NPI | - | NPPES |
425746724 | Medicaid | MO | |
500018369 | Other | MO | MEDICARE RAILROAD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 143970 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Cameron Regional Medical Center | Cameron, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Cameron Regional Medical Center Inc | 5092622001 | 60 |
Entity Name | Cameron Regional Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811905375 PECOS PAC ID: 5092622001 Enrollment ID: O20040113000619 |
Mailing Address | Practice Location Address |
---|---|
Michelle E Petersen, RN, CS, FNP 1600 E Evergreen St, Po Box 557, Cameron, MO 64429-2400 Ph: (816) 632-2101 | Michelle E Petersen, RN, CS, FNP 1608 E Evergreen St, Suite A, Cameron, MO 64429-2400 Ph: (816) 632-5424 |
Richard D Campbell, ANP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1600 E Evergreen, Cameron, MO 64429 Phone: 816-649-3362 Fax: 816-238-4470 | |
Amy Leigh Daily, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1600 E Evergreen St, Cameron, MO 64429 Phone: 816-632-2101 | |
Cassi Macrae Deskins, FNPC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1600 E Evergreen, Cameron, MO 64429 Phone: 816-632-2101 Fax: 816-649-3383 | |
Jacob M Barton, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1600 E Evergreen St, Mp Ii Ste C, Cameron, MO 64429 Phone: 816-632-2139 Fax: 816-632-2315 | |
Kathy Clydean Erickson, RN, CS, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1600 E Evergreen St, Suite C, Cameron, MO 64429 Phone: 816-632-2139 Fax: 816-632-2315 | |
Cristi Campbell, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1600 E Evergreen St, Medical Plaza 2, Suite C, Cameron, MO 64429 Phone: 816-632-2139 | |
Charles E Chatfield, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 311 Little Brick St, Cameron, MO 64429 Phone: 816-922-2651 |