Mrs Elizabeth Roderick, APRN-BC | |
5301 Faraon St Ste 220, Saint Joseph, MO 64506-3800 | |
(816) 271-8131 | |
(816) 271-8132 |
Full Name | Mrs Elizabeth Roderick |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 5301 Faraon St Ste 220, Saint Joseph, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801099874 | NPI | - | NPPES |
200672230A | Medicaid | KS | |
428451702 | Medicaid | MO | |
1801099874 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | 138383 (Missouri) | Secondary |
363LF0000X | Nurse Practitioner - Family | 138383 (Missouri) | Primary |
Entity Name | Heartland Regional Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477575405 PECOS PAC ID: 6709772767 Enrollment ID: O20040225001201 |
Mailing Address | Practice Location Address |
---|---|
Mrs Elizabeth Roderick, APRN-BC 5301 Faraon St Ste 220, Saint Joseph, MO 64506-3800 Ph: (816) 271-8131 | Mrs Elizabeth Roderick, APRN-BC 5301 Faraon St Ste 220, Saint Joseph, MO 64506-3800 Ph: (816) 271-8131 |
Susan Lee Kirkle, ADULT PSYCH MH NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 724 N 22nd St, Saint Joseph, MO 64506 Phone: 816-364-1501 Fax: 816-364-6735 | |
Kevin Baer, APRN, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5325 Faraon St, Saint Joseph, MO 64506 Phone: 816-271-7273 | |
Cindy L Schoenlaub, RNC, WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1322 N 36th St, Saint Joseph, MO 64506 Phone: 816-364-1944 | |
Kelly Dawn Mcfee, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 137 N Belt Hwy, Saint Joseph, MO 64506 Phone: 816-271-7098 | |
Ms. Teresa Lynn Mead-hahn, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2922 Angelique St, Saint Joseph, MO 64501 Phone: 816-387-3392 | |
Jordan Hummel, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5325 Faraon St, Saint Joseph, MO 64506 Phone: 816-271-6122 Fax: 816-271-6019 | |
Amanda Johnson-sollars, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5325 Faraon St, Saint Joseph, MO 64506 Phone: 816-271-7826 |