Mrs Kenyon Michelle Hagen, FNP-NC | |
1307 S Main St, Lockwood, MO 65682-8327 | |
(417) 232-4560 | |
Not Available |
Full Name | Mrs Kenyon Michelle Hagen |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 6 Years |
Location | 1307 S Main St, Lockwood, 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 |
---|---|---|---|
1447816855 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 2019012911 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mercy Hospital Springfield | Springfield, MO | Hospital |
Mercy Hospital Carthage | Carthage, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Western Missouri Medical Center | 4183904865 | 9 |
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 |
Entity Name | Western Missouri Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083601330 PECOS PAC ID: 7416931506 Enrollment ID: O20040616000777 |
Entity Name | Western Missouri Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215388293 PECOS PAC ID: 5092852111 Enrollment ID: O20091022000298 |
Entity Name | Western Missouri Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194275362 PECOS PAC ID: 4183904865 Enrollment ID: O20170512001582 |
Mailing Address | Practice Location Address |
---|---|
Mrs Kenyon Michelle Hagen, FNP-NC 1307 S Main St, Lockwood, MO 65682-8327 Ph: (417) 232-4560 | Mrs Kenyon Michelle Hagen, FNP-NC 1307 S Main St, Lockwood, MO 65682-8327 Ph: (417) 232-4560 |
Mrs. Ashley Corine Dawson, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1307 S Main St, Lockwood, MO 65682 Phone: 417-232-4560 | |
Carrie L Lucas, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1307 S Main St, Lockwood, MO 65682 Phone: 417-232-4560 Fax: 417-232-4611 | |
Kelbey Lee Bowles, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1307 S Main St, Lockwood, MO 65682 Phone: 417-232-4560 |