Mrs Brooke L Fair, FNP | |
816 E. Main, Willow Springs, MO 65793-1597 | |
(417) 269-2490 | |
(417) 269-2492 |
Full Name | Mrs Brooke L Fair |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 15 Years |
Location | 816 E. Main, Willow Springs, 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 |
---|---|---|---|
1265666093 | NPI | - | NPPES |
26-8535 | Other | MO | RH MEDICARE |
1265666093 | Medicaid | MO | |
26D0889777 | Other | MO | CLIA |
597780303 | Other | MO | RH MEDICAID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 154917 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ozarks Medical Center | West plains, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ozarks Medical Center | 3870491863 | 143 |
Entity Name | Ozarks Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831115641 PECOS PAC ID: 3870491863 Enrollment ID: O20040209001035 |
Entity Name | Drynachan Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891044657 PECOS PAC ID: 2264718824 Enrollment ID: O20171211000607 |
Mailing Address | Practice Location Address |
---|---|
Mrs Brooke L Fair, FNP 3800 S. National Ave, Ste. 540, Springfield, MO 65807-5284 Ph: (417) 269-2490 | Mrs Brooke L Fair, FNP 816 E. Main, Willow Springs, MO 65793-1597 Ph: (417) 269-2490 |
Miss April Hale, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1202 E Main St, Willow Springs, MO 65793 Phone: 417-469-1820 | |
Teresa Ward, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 816 E Main St, Willow Springs, MO 65793 Phone: 417-469-3116 | |
Danielle Joyce, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1202 E Main St, Willow Springs, MO 65793 Phone: 417-293-7184 | |
Krystal S Colvin Jones, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2642 State Route 76, Willow Springs, MO 65793 Phone: 417-469-5124 Fax: 417-469-1165 | |
Naomi G. Dyck, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 816 E. Main, Willow Springs, MO 65793 Phone: 417-269-2490 Fax: 417-269-2492 | |
Mr. Thomas Charles Gardner, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2642 State Route 76, Willow Springs, MO 65793 Phone: 417-469-5124 Fax: 417-469-1165 |