Mrs Samantha Danielle Welch, FNP | |
500 Main St, Cabool, MO 65689-8104 | |
(417) 962-3015 | |
(417) 962-5240 |
Full Name | Mrs Samantha Danielle Welch |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 5 Years |
Location | 500 Main St, Cabool, 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 |
---|---|---|---|
1932734092 | NPI | - | NPPES |
26D2006074 | Other | MO | CLIA MG |
26D0859759 | Other | MO | CLIA CMC |
26D0679044 | Other | MO | CLIA LFC |
26D2178130 | Other | MO | CLIA FHC |
420081939 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 2020008394 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Salem Memorial District Hospital | Salem, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Salem Memorial Hospital | 7012801129 | 13 |
Entity Name | Salem Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114177557 PECOS PAC ID: 7012801129 Enrollment ID: O20040210000857 |
Entity Name | Texas County Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235178930 PECOS PAC ID: 9436041696 Enrollment ID: O20041020000359 |
Entity Name | Texas County Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396785135 PECOS PAC ID: 9436041696 Enrollment ID: O20060323000624 |
Entity Name | Texas County Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285957001 PECOS PAC ID: 9436041696 Enrollment ID: O20100813000720 |
Mailing Address | Practice Location Address |
---|---|
Mrs Samantha Danielle Welch, FNP 94 County Road 4230, Salem, MO 65560-8129 Ph: (573) 247-8980 | Mrs Samantha Danielle Welch, FNP 500 Main St, Cabool, MO 65689-8104 Ph: (417) 962-3015 |
Stephanie Ann Thurman, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 500 Main St, Cabool, MO 65689 Phone: 417-962-3015 Fax: 417-962-5240 |