- Medicare Primary Care in Jefferson City, MO

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is a medicare enrolled primary clinic (Family Medicine) in Jefferson City, Missouri. The current practice location for is 1001 Southwest Blvd Ste 1, Jefferson City, Missouri. For appointments, you can reach them via phone at (573) 415-0269. The mailing address for is Po Box 51266, Lafayette, Louisiana and phone number is (337) 233-1307.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1215516935. 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 (573) 415-0269.

Contact Information

1001 Southwest Blvd Ste 1
Jefferson City
MO 65109-2534
(573) 415-0269
(573) 415-0389

Map and Direction


Primary Care Clinic Profile

Full Name
SpecialityFamily Medicine
Location1001 Southwest Blvd Ste 1, Jefferson City, Missouri
Authorized Official Name and PositionJoshua L Proffitt (PRESIDENT)
Authorized Official Contact3372331307
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

Po Box 51266
Lafayette
LA 70505-1266

Ph: (337) 233-1307
1001 Southwest Blvd Ste 1
Jefferson City
MO 65109-2534

Ph: (573) 415-0269

NPI Details:

NPI Number1215516935
Provider Enumeration Date04/08/2021
Last Update Date12/18/2023

Medicare PECOS Information:

Medicare PECOS PAC ID6709294317
Medicare Enrollment IDO20210421000151

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215516935NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Primary
251G00000XHospice Care, Community Based (* (Not Available))Secondary
363LA2200XNurse Practitioner - Adult Health (* (Not Available))Secondary
363LF0000XNurse Practitioner - Family (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:
Provider NameMark A Rosales
Provider TypePractitioner - Hospice/palliative Care
Provider IdentifiersNPI Number: 1962446070
PECOS PAC ID: 5294741278
Enrollment ID: I20060228000597
Provider NameMelissa J Holcomb
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437829918
PECOS PAC ID: 0042604761
Enrollment ID: I20220223001391

Reviews and Comments


Family Medicine in Jefferson City, MO

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Practice Location: 1500 Southwest Blvd, Ste C, Jefferson City, MO 65109
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Medicare: Not Enrolled in Medicare
Practice Location: 420 E High St, Jefferson City, MO 65101
Phone: 573-635-0916    Fax: 573-635-8812
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Medicare: Not Enrolled in Medicare
Practice Location: 1735 Elm Ct, Jefferson City, MO 65101
Phone: 573-634-4878    

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.