| Bg2 Clinical Services Llc | |
|
857 E Main St Ste 4 Willow Springs MO 65793-1512 | |
| (417) 469-7385 | |
| (417) 469-7386 |
| Full Name | Bg2 Clinical Services Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 857 E Main St Ste 4, Willow Springs, Missouri |
| Authorized Official Name and Position | Brandon Gregory (DIRECTOR) |
| Authorized Official Contact | 4174697385 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bg2 Clinical Services Llc 857 E Main St Ste 4 Willow Springs MO 65793-1512 Ph: () - | Bg2 Clinical Services Llc 857 E Main St Ste 4 Willow Springs MO 65793-1512 Ph: (417) 469-7385 |
| NPI Number | 1306629894 |
|---|---|
| Provider Enumeration Date | 08/17/2023 |
| Last Update Date | 03/15/2024 |
| Medicare PECOS PAC ID | 5294199949 |
|---|---|
| Medicare Enrollment ID | O20230913002383 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306629894 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| Provider Name | Derek J Morrison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477782621 PECOS PAC ID: 8123143955 Enrollment ID: I20100916000318 |
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