Wesley Scott Davis, AGNP | |
101 N Elm St Ste D, Pierce City, MO 65723-1233 | |
(417) 297-0515 | |
(417) 429-4543 |
Full Name | Wesley Scott Davis |
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Gender | Male |
Speciality | Nurse Practitioner |
Location | 101 N Elm St Ste D, Pierce City, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548834864 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 2021018043 (Missouri) | Primary |
Entity Name | Hometown Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295488195 PECOS PAC ID: 5597146431 Enrollment ID: O20220722002428 |
Mailing Address | Practice Location Address |
---|---|
Wesley Scott Davis, AGNP 148 Deer Run St, Rogersville, MO 65742-7553 Ph: (870) 391-9113 | Wesley Scott Davis, AGNP 101 N Elm St Ste D, Pierce City, MO 65723-1233 Ph: (417) 297-0515 |
Christy Marie Henley, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 104 W Main St, Pierce City, MO 65723 Phone: 417-235-6610 Fax: 417-476-1082 | |
Kristin Evans, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 205 N Elm St, Pierce City, MO 65723 Phone: 417-489-7868 | |
Mrs. Cathy Ingalls, WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6633 Highway 37, Pierce City, MO 65723 Phone: 417-354-8657 Fax: 417-354-8607 |