| Blue Springs Family Care Pc | |
|
104 N. 7 Highway Suite B Blue Springs MO 64014-7276 | |
| (816) 229-8880 | |
| (816) 229-4363 |
| Full Name | Blue Springs Family Care Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 104 N. 7 Highway, Blue Springs, Missouri |
| Authorized Official Name and Position | John Eric Peterson (PRESIDENT) |
| Authorized Official Contact | 8162298880 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Springs Family Care Pc 104 N. 7 Highway Suite B Blue Springs MO 64014-2726 Ph: (816) 229-8880 | Blue Springs Family Care Pc 104 N. 7 Highway Suite B Blue Springs MO 64014-7276 Ph: (816) 229-8880 |
| NPI Number | 1811060767 |
|---|---|
| Provider Enumeration Date | 11/16/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 8527039601 |
|---|---|
| Medicare Enrollment ID | O20040803000619 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811060767 | NPI | - | NPPES |
| 09239018 | Other | MO | BCBS OF KC |
| 1052 | Other | MO | COVENTRY GHP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Tuongvan Tran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689667537 PECOS PAC ID: 2163562935 Enrollment ID: I20091230000051 |
| Provider Name | John E. Peterson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295728236 PECOS PAC ID: 6507993599 Enrollment ID: I20100422001075 |
| Provider Name | Amy Noelle Jensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508165739 PECOS PAC ID: 5496925950 Enrollment ID: I20110819000398 |
| Provider Name | Samantha J Harms |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902248115 PECOS PAC ID: 6507091535 Enrollment ID: I20131029001972 |
| Provider Name | Catherine A Billington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376817189 PECOS PAC ID: 2264668508 Enrollment ID: I20131115000690 |
| Provider Name | Stefany Jane Hastings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891179057 PECOS PAC ID: 1254621493 Enrollment ID: I20160601000457 |
| Provider Name | Kathrine Jean Stipanovich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124563507 PECOS PAC ID: 9739462003 Enrollment ID: I20170210001478 |
| Provider Name | Michelle A Cass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164907622 PECOS PAC ID: 9830442524 Enrollment ID: I20181025003078 |
| Provider Name | Christopher Lee Edmondson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982221156 PECOS PAC ID: 6002232394 Enrollment ID: I20200818000272 |
Carondelet Physician Services Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 220 Nw Rd Mize Rd, Suite 101, Blue Springs, MO 64014 Phone: 816-228-9841 Fax: 816-228-1514 | |
Cockerell & Mcintosh Pediatrics Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 Nw Rd Mize Rd, Suite 304, Blue Springs, MO 64014 Phone: 816-228-4770 Fax: 816-228-1156 | |
Cooperating Plan Management Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1501 Nw Jefferson St, Blue Springs, MO 64015 Phone: 816-224-1740 Fax: 816-224-1364 | |
Samuel U. Rodgers Health Center Blue Springs School District Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1501 Nw Jefferson St, Blue Springs, MO 64015 Phone: 816-224-1740 | |
Cmc Comprehensive Care Blue Springs Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1131 W Main St Ste F, Blue Springs, MO 64015 Phone: 816-229-1941 Fax: 816-229-7085 | |
Family Care Of E. Jackson County Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 725 Nw State Route 7 Ste B, Blue Springs, MO 64014 Phone: 816-229-8187 | |
Moberly Area Osteopathic Clinic, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3308 Thornbird St, Blue Springs, MO 64015 Phone: 816-588-3420 Fax: 816-988-8333 |