Central Ozark Medical Clinic - Medicare Primary Care in Osage Beach, MO

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Central Ozark Medical Clinic is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Osage Beach, Missouri. The current practice location for Central Ozark Medical Clinic is 3870 Columbia Ave, Osage Beach, Missouri. For appointments, you can reach them via phone at (573) 302-7490. The mailing address for Central Ozark Medical Clinic is Po Box 777, Richland, Missouri and phone number is (573) 765-5131.

Central Ozark Medical Clinic is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1891931978. 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) 302-7490.

Contact Information

Central Ozark Medical Clinic
3870 Columbia Ave
Osage Beach
MO 65065-8689
(573) 302-7490
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameCentral Ozark Medical Clinic
SpecialityClinic/Center
Location3870 Columbia Ave, Osage Beach, Missouri
Authorized Official Name and PositionKelly Miller (CEO)
Authorized Official Contact5738367071
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Central Ozark Medical Clinic
Po Box 777
Richland
MO 65556-0777

Ph: (573) 765-5131		Central Ozark Medical Clinic
3870 Columbia Ave
Osage Beach
MO 65065-8689

Ph: (573) 302-7490

NPI Details:

NPI Number1891931978
Provider Enumeration Date12/19/2008
Last Update Date10/28/2024

Medicare PECOS Information:

Medicare PECOS PAC ID2062554025
Medicare Enrollment IDO20100525000793

Medical Identifiers

Medical identifiers for Central Ozark Medical Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891931978NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (* (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. Central Ozark Medical Clinic acts as a billing entity for following providers:
Provider NameKatherine Monica Keeler
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598810210
PECOS PAC ID: 7719889336
Enrollment ID: I20040123000780
Provider NamePenny A Dunning
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194758987
PECOS PAC ID: 3375511181
Enrollment ID: I20040920000952
Provider NameTerry Krantz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700846342
PECOS PAC ID: 0244294841
Enrollment ID: I20041115000034
Provider NameSuzanne King
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1760469977
PECOS PAC ID: 7416906748
Enrollment ID: I20050113000699
Provider NameLisa L King
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043288806
PECOS PAC ID: 5698871457
Enrollment ID: I20070511000089
Provider NameJuanita J Jones
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760445134
PECOS PAC ID: 8325045487
Enrollment ID: I20070711000615
Provider NameVicky L Gulley
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1750589024
PECOS PAC ID: 8022109347
Enrollment ID: I20070801000159
Provider NameKelvin E Bailey
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1356353676
PECOS PAC ID: 3072672526
Enrollment ID: I20081112000686
Provider NameKristen A Theobald
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1932201837
PECOS PAC ID: 2567514656
Enrollment ID: I20090721000539
Provider NameBethany Rackers
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1316177512
PECOS PAC ID: 1052465564
Enrollment ID: I20090818000768
Provider NameSarah Buchanan
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1063626331
PECOS PAC ID: 9739102823
Enrollment ID: I20090819000462
Provider NameJamie M Zurcher
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093046534
PECOS PAC ID: 1658402714
Enrollment ID: I20100706000638
Provider NameDavid L Cathcart
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1821093287
PECOS PAC ID: 1951433614
Enrollment ID: I20100715000162
Provider NameElizabeth C Ewers Teel
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1134256910
PECOS PAC ID: 7618146077
Enrollment ID: I20110802000189
Provider NameBarton L Warren
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1376674408
PECOS PAC ID: 5799946588
Enrollment ID: I20120423000620
Provider NameDaniel M Schmidt
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1356472476
PECOS PAC ID: 4688835473
Enrollment ID: I20120423000644
Provider NameMichael Stone
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1033174602
PECOS PAC ID: 3779547294
Enrollment ID: I20120502000630
Provider NameSuzanna Lambert
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1346542370
PECOS PAC ID: 6406098268
Enrollment ID: I20130808000100
Provider NameDanette Harrington
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1437455417
PECOS PAC ID: 4789826058
Enrollment ID: I20140917001329
Provider NameKaren L Florio
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1932405776
PECOS PAC ID: 9032397278
Enrollment ID: I20141021002542
Provider NameJamie A Thomas
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1114214962
PECOS PAC ID: 9638394661
Enrollment ID: I20141211001210
Provider NameJillynn R Hull
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689031254
PECOS PAC ID: 1850696824
Enrollment ID: I20160229002771
Provider NameAngelia Cayou
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447626593
PECOS PAC ID: 9335448026
Enrollment ID: I20160502001323
Provider NameSara Ashley Warren
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1952742595
PECOS PAC ID: 0042508129
Enrollment ID: I20161005000123
Provider NameLinda K Fowler
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720480056
PECOS PAC ID: 5193095800
Enrollment ID: I20170727002787
Provider NameRhonda Y Hooker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790084689
PECOS PAC ID: 7214112986
Enrollment ID: I20180605000611
Provider NameErin Marie Rademan-alonso
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295249290
PECOS PAC ID: 7911250394
Enrollment ID: I20181101001092
Provider NameJaymie L Rodriguez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649740705
PECOS PAC ID: 3274879465
Enrollment ID: I20190109000439
Provider NameKristi D Atkins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114427556
PECOS PAC ID: 7719210137
Enrollment ID: I20190617002403
Provider NameLaurie Sparr
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447766621
PECOS PAC ID: 8022342104
Enrollment ID: I20190624001520
Provider NameRobert A Grover
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1649299546
PECOS PAC ID: 9739171059
Enrollment ID: I20190702001344
Provider NameAmber Vandiver
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528697174
PECOS PAC ID: 6709207020
Enrollment ID: I20200521003154
Provider NameElizabeth Nichole Bowman
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1285120865
PECOS PAC ID: 7214350438
Enrollment ID: I20200707001664
Provider NameKimberly Brooke Conde
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1770104044
PECOS PAC ID: 5890110241
Enrollment ID: I20200803001667
Provider NameDanielle Fowers
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205437126
PECOS PAC ID: 3971913534
Enrollment ID: I20201110002229
Provider NameMario Alejandro Macias
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1174881601
PECOS PAC ID: 2264841931
Enrollment ID: I20210510001235
Provider NameSara Ann Barlett
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1285178475
PECOS PAC ID: 4981001633
Enrollment ID: I20210922001312
Provider NameMichael Allen Kirkover
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1366892986
PECOS PAC ID: 2365735263
Enrollment ID: I20210929001119
Provider NameGabriel V Skiba
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1184286510
PECOS PAC ID: 4183012032
Enrollment ID: I20211026000598
Provider NameJean Ricci Goodman
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1447228093
PECOS PAC ID: 4385675669
Enrollment ID: I20211122001654
Provider NameWhitney Lynette Cline
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1275670101
PECOS PAC ID: 0749534931
Enrollment ID: I20211130001911
Provider NameStephanie Wadle Wignall
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1356329130
PECOS PAC ID: 6002840311
Enrollment ID: I20221116001243
Provider NameKaren Walters
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538826649
PECOS PAC ID: 2961871090
Enrollment ID: I20221213001571
Provider NameFreddie Ramos
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1336121615
PECOS PAC ID: 0547550667
Enrollment ID: I20230424000567
Provider NameDavid Chisholm
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1366433419
PECOS PAC ID: 9739110388
Enrollment ID: I20230530002469
Provider NameJohn D Richard
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1568448116
PECOS PAC ID: 9830550045
Enrollment ID: I20230804000443
Provider NameElizabeth Doris Kermis
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1962814434
PECOS PAC ID: 8921359126
Enrollment ID: I20230901003638
Provider NameElizabeth Bernadette Melendez-bonnot
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1538632138
PECOS PAC ID: 5092164467
Enrollment ID: I20231211001145
Provider NameBrittaney Maggard
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1942803929
PECOS PAC ID: 2769831130
Enrollment ID: I20231211001382
Provider NameMichele Lynne Clary
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1376050849
PECOS PAC ID: 6406276070
Enrollment ID: I20231211001826
Provider NameTodd P Odell
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1437378338
PECOS PAC ID: 9335598721
Enrollment ID: I20231211002057
Provider NameGeralyn Hartley
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1861767105
PECOS PAC ID: 1153770540
Enrollment ID: I20231211002068
Provider NameTiffany Duncan-ash
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1790466233
PECOS PAC ID: 4981053378
Enrollment ID: I20231211002089
Provider NameKarista E. Gill
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1639305147
PECOS PAC ID: 7911356316
Enrollment ID: I20231211002391
Provider NameDanielle Nicole Russell
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1609206960
PECOS PAC ID: 4284083528
Enrollment ID: I20231212000786
Provider NameLynnette Kay Hall
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1548242498
PECOS PAC ID: 3577912823
Enrollment ID: I20231212001135
Provider NameMichelle Marie Nutter
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1881163749
PECOS PAC ID: 1759731219
Enrollment ID: I20231223000085
Provider NameDesiree Dianne Malam
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1760723134
PECOS PAC ID: 4183074651
Enrollment ID: I20231223000238
Provider NameScott D Schnelle
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1922681493
PECOS PAC ID: 0042661977
Enrollment ID: I20240104003954
Provider NameBarbara Ann Proctor
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1508055302
PECOS PAC ID: 9436500964
Enrollment ID: I20240109004559
Provider NameTiffini Farnsworth Denham
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1437903093
PECOS PAC ID: 6800236068
Enrollment ID: I20240504000347

Reviews and Comments


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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.