- Medicare Primary Care in Springfield, MO

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is a medicare enrolled primary clinic (Family Medicine) in Springfield, Missouri. The current practice location for is 1530 E Republic Rd, Springfield, Missouri. For appointments, you can reach them via phone at (417) 269-1362. The mailing address for is Po Box 505673, Saint Louis, Missouri and phone number is (417) 730-6430.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1508928623. 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) 269-1362.

Contact Information

1530 E Republic Rd
Springfield
MO 65804-6530
(417) 269-1362
(417) 269-1372

Map and Direction


Primary Care Clinic Profile

Full Name
SpecialityFamily Medicine
Location1530 E Republic Rd, Springfield, Missouri
Authorized Official Name and PositionBrock Shamel (VICE PRESIDENT)
Authorized Official Contact4172694368
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

Po Box 505673
Saint Louis
MO 63150-5673

Ph: (417) 730-6430
1530 E Republic Rd
Springfield
MO 65804-6530

Ph: (417) 269-1362

NPI Details:

NPI Number1508928623
Provider Enumeration Date12/14/2006
Last Update Date09/30/2024

Medicare PECOS Information:

Medicare PECOS PAC ID5799787784
Medicare Enrollment IDO20070213000001

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508928623NPI-NPPES
507975704MedicaidMO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (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. acts as a billing entity for following providers:
Provider NameWilliam R Detten
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1033229935
PECOS PAC ID: 7416938261
Enrollment ID: I20040527000155
Provider NameHope E Misterovich
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1336288067
PECOS PAC ID: 0446280614
Enrollment ID: I20050817000434
Provider NameManuel Camejo
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1225016637
PECOS PAC ID: 3375559438
Enrollment ID: I20060227000401
Provider NameTimothy L Jones
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1780784306
PECOS PAC ID: 6103828645
Enrollment ID: I20070213000010
Provider NameThuy H Dang
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376719674
PECOS PAC ID: 3870658305
Enrollment ID: I20090218000040
Provider NameSteven E Newbold
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1447347729
PECOS PAC ID: 5092704338
Enrollment ID: I20100118000109
Provider NameLevent Akduman
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1245344605
PECOS PAC ID: 2860529260
Enrollment ID: I20100415000881
Provider NameAudrey M Williams
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1215118195
PECOS PAC ID: 5698809366
Enrollment ID: I20100817000604
Provider NameToni R Mcginnis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891057964
PECOS PAC ID: 9032365366
Enrollment ID: I20120802000048
Provider NameRachel M Archer
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1841558921
PECOS PAC ID: 3375846157
Enrollment ID: I20160729000635
Provider NameShara B Bryan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609329598
PECOS PAC ID: 1355639741
Enrollment ID: I20161018002518
Provider NameEmily Akridge
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659806578
PECOS PAC ID: 7517234271
Enrollment ID: I20170531000174
Provider NameJennifer Harp
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679099576
PECOS PAC ID: 1951675768
Enrollment ID: I20170918002246
Provider NameKarissa A Merritt
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1386137313
PECOS PAC ID: 1355776881
Enrollment ID: I20200110001151
Provider NameMarc D Carrigan
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1225295223
PECOS PAC ID: 1951456623
Enrollment ID: I20200930000670
Provider NameNichole Norgard
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1780213181
PECOS PAC ID: 7618365396
Enrollment ID: I20230925002674

Reviews and Comments


Family Medicine in Springfield, MO

James M. Carmichael, Dc Pc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 3108 S Fremont Ave, Springfield, MO 65804
Phone: 417-886-4910    Fax: 417-886-4910

Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 3525 S National Ave, #307, Springfield, MO 65807
Phone: 417-269-9220    Fax: 417-269-9229

Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 3800 S National Ave, #600, Springfield, MO 65807
Phone: 417-269-1499    Fax: 417-269-1459

Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1423 N Jefferson Ave, #k-100, Springfield, MO 65802
Phone: 417-269-3915    Fax: 417-269-3913
Mercy Clinic Hospitalists
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1235 E Cherokee St, Springfield, MO 65804
Phone: 417-820-2600    Fax: 417-820-2100

Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1429 W Sunshine St, Springfield, MO 65807
Phone: 417-269-2240    Fax: 417-269-2245

Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1720 W Grand St Ste B, Springfield, MO 65802
Phone: 417-831-0150    Fax: 417-831-0155

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.