Ms Amy Carole Hawk, FNP | |
1125 Madison St, Jefferson City, MO 65101-5227 | |
(573) 632-5000 | |
Not Available |
Full Name | Ms Amy Carole Hawk |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 9 Years |
Location | 1125 Madison St, Jefferson City, 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 |
---|---|---|---|
1720464266 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 2015023423 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lake Regional Health System | Osage beach, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Camden Emergency Group Llc | 2961665369 | 14 |
Entity Name | Southeastern Emergency Services Of Memphis Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164454450 PECOS PAC ID: 8921912767 Enrollment ID: O20080108000151 |
Entity Name | Camden Emergency Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003181637 PECOS PAC ID: 2961665369 Enrollment ID: O20120523000037 |
Mailing Address | Practice Location Address |
---|---|
Ms Amy Carole Hawk, FNP 1554 Island Ct, Osage Beach, MO 65065-3385 Ph: (573) 280-7448 | Ms Amy Carole Hawk, FNP 1125 Madison St, Jefferson City, MO 65101-5227 Ph: (573) 632-5000 |
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