Republic R-iii is a
Local Education Agency (lea) based in Republic, Missouri. Republic R-iii is licensed to practice in * (Not Available) (license number ) and their current practice location is
518 N Hampton Ave, Republic, Missouri. It can be reached at their office (for appointments etc.) via phone at
(417) 732-3605.
NPI number for Republic R-iii is 1164561890 and their current mailing address is 518 N Hampton Ave, Republic, Missouri. Republic R-iii
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1164561890.
Healthcare Provider's Profile
| Full Name | Republic R-iii |
|---|
| Type | Facility |
|---|
| Speciality | Local Education Agency (lea) |
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| Location | 518 N Hampton Ave, Republic, Missouri |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1164561890
- Provider Enumeration Date: 02/06/2007
- Last Update Date: 06/15/2016
Medical Identifiers
Medical identifiers for Republic R-iii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164561890 | NPI | - | NPPES |
| 506157403 | 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. Republic R-iii 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 |
|---|
Republic R-iii
518 N Hampton Ave,
Republic, MO 65738-1323
Ph: (417) 732-3605 | Republic R-iii
518 N Hampton Ave,
Republic, MO 65738-1323
Ph: (417) 732-3605 |
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