Diabetes Clinicare & Wellness Springfield Llc | |
1649 S Enterprise Ave Springfield MO 65804-1850 | |
(417) 771-5266 | |
(417) 590-8232 |
Full Name | Diabetes Clinicare & Wellness Springfield Llc |
---|---|
Speciality | Family Medicine |
Location | 1649 S Enterprise Ave, Springfield, Missouri |
Authorized Official Name and Position | Ricky Tucker (MANAGER) |
Authorized Official Contact | 4174131351 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Diabetes Clinicare & Wellness Springfield Llc 3125 S Brandywine Trl Springfield MO 65809-4304 Ph: (417) 771-5266 | Diabetes Clinicare & Wellness Springfield Llc 1649 S Enterprise Ave Springfield MO 65804-1850 Ph: (417) 771-5266 |
NPI Number | 1548988835 |
---|---|
Provider Enumeration Date | 08/22/2022 |
Last Update Date | 08/22/2022 |
Medicare PECOS PAC ID | 1355717489 |
---|---|
Medicare Enrollment ID | O20221014001436 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548988835 | NPI | - | NPPES |
Provider Name | Donald W Burkindine |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1245235498 PECOS PAC ID: 2567367022 Enrollment ID: I20031206000097 |
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 | |
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 | |