Pilot Grove C-4 is a
Local Education Agency (lea) based in Pilot Grove, Missouri. Pilot Grove C-4 is licensed to practice in * (Not Available) (license number ) and their current practice location is
Attention Janna Lammers, 107 School St, Pilot Grove, Missouri. It can be reached at their office (for appointments etc.) via phone at
(660) 834-4415.
NPI number for Pilot Grove C-4 is 1447393475 and their current mailing address is 107 School St, Attention Janna Lammers, Pilot Grove, Missouri. Pilot Grove C-4
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1447393475.
Healthcare Provider's Profile
| Full Name | Pilot Grove C-4 |
|---|
| Type | Facility |
|---|
| Speciality | Local Education Agency (lea) |
|---|
| Location | Attention Janna Lammers, Pilot Grove, Missouri |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1447393475
- Provider Enumeration Date: 02/15/2007
- Last Update Date: 06/15/2016
Medical Identifiers
Medical identifiers for Pilot Grove C-4 such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1447393475 | NPI | - | NPPES |
| 506079706 | Medicaid | MO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
| 251300000X | Local Education Agency (lea) | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Pilot Grove C-4 is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Pilot Grove C-4
107 School St, Attention Janna Lammers,
Pilot Grove, MO 65276-1026
Ph: (660) 834-4415 | Pilot Grove C-4
Attention Janna Lammers, 107 School St,
Pilot Grove, MO 65276-1026
Ph: (660) 834-4415 |
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