Ccmh Medical Mall Clinic - Medicare Primary Care in El Dorado Springs, MO

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Ccmh Medical Mall Clinic is a medicare enrolled primary clinic (Clinic/center) in El Dorado Springs, Missouri. The current practice location for Ccmh Medical Mall Clinic is 1317 S State Highway 32, El Dorado Springs, Missouri. For appointments, you can reach them via phone at (417) 876-3333. The mailing address for Ccmh Medical Mall Clinic is 1401 S Park St, El Dorado Springs, Missouri and phone number is (417) 876-2511.

Ccmh Medical Mall Clinic is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1992827273. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (417) 876-3333.

Contact Information

Ccmh Medical Mall Clinic
1317 S State Highway 32
El Dorado Springs
MO 64744-2302
(417) 876-3333
(417) 876-4509

Map and Direction


Primary Care Clinic Profile

Full NameCcmh Medical Mall Clinic
SpecialityClinic/Center
Location1317 S State Highway 32, El Dorado Springs, Missouri
Authorized Official Name and PositionTerry W Nichols (CEO)
Authorized Official Contact4178762511
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ccmh Medical Mall Clinic
1401 S Park St
El Dorado Springs
MO 64744-2037

Ph: (417) 876-2511		Ccmh Medical Mall Clinic
1317 S State Highway 32
El Dorado Springs
MO 64744-2302

Ph: (417) 876-3333

NPI Details:

NPI Number1992827273
Provider Enumeration Date04/06/2007
Last Update Date03/06/2023

Medicare PECOS Information:

Medicare PECOS PAC ID7315841129
Medicare Enrollment IDO20041027000976

Medical Identifiers

Medical identifiers for Ccmh Medical Mall Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1992827273NPI-NPPES
508079605MedicaidMO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261Q00000XClinic/center (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Ccmh Medical Mall Clinic acts as a billing entity for following providers:
Provider NameJames Riscoe
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1386681997
PECOS PAC ID: 4284600891
Enrollment ID: I20040904000067
Provider NameRussell R Kemm
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1649277831
PECOS PAC ID: 2062555139
Enrollment ID: I20100211000653
Provider NameTedi E Payne
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083055800
PECOS PAC ID: 8820222755
Enrollment ID: I20131009000731
Provider NameMolly Moore Mcgraw Davidson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104327576
PECOS PAC ID: 9335498450
Enrollment ID: I20180823000980
Provider NameJody M Pryor
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629602024
PECOS PAC ID: 8123459112
Enrollment ID: I20200506002997
Provider NamePatricia Myers
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1336381474
PECOS PAC ID: 5092603753
Enrollment ID: I20211013001628
Provider NameBrooke N Mcpeak
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326800335
PECOS PAC ID: 5294179404
Enrollment ID: I20240215002487

Reviews and Comments


Clinic/Center in El Dorado Springs, MO

I Am Health Clinic, Llc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1005 S Allison Rd, Suite A, El Dorado Springs, MO 64744
Phone: 417-876-4771    Fax: 417-876-4775
Pathways Community Behavioral Healthcare
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 107 W Broadway St, El Dorado Springs, MO 64744
Phone: 660-890-8186    
Mercy Clinic Family Medicine-el Dorado Springs
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 309 E Hospital Rd, El Dorado Springs, MO 64744
Phone: 417-876-5851    Fax: 417-876-5484
Cmh El Dorado Springs Medical Center
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 322 E Hospital Road, El Dorado Springs, MO 64744
Phone: 417-876-2118    Fax: 417-876-2175
Ccmh Medical Mall Clinic
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 1317 S State Highway 32, El Dorado Springs, MO 64744
Phone: 417-876-3333    Fax: 417-876-4509

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.