| Excelsior Springs Physician Clinic Llc | |
|
1700 Rainbow Blvd Excelsior Springs MO 64024-1182 | |
| (816) 630-6081 | |
| (816) 629-3661 |
| Full Name | Excelsior Springs Physician Clinic Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1700 Rainbow Blvd, Excelsior Springs, Missouri |
| Authorized Official Name and Position | Elizabeth Ann Hester (PATIENT FINANCIAL SERVICES DIRECTOR) |
| Authorized Official Contact | 8166292790 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Excelsior Springs Physician Clinic Llc 1700 Rainbow Blvd Excelsior Springs MO 64024-1182 Ph: (816) 630-6081 | Excelsior Springs Physician Clinic Llc 1700 Rainbow Blvd Excelsior Springs MO 64024-1182 Ph: (816) 630-6081 |
| NPI Number | 1811232796 |
|---|---|
| Provider Enumeration Date | 12/04/2012 |
| Last Update Date | 01/08/2014 |
| Medicare PECOS PAC ID | 8325283922 |
|---|---|
| Medicare Enrollment ID | O20130403000073 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811232796 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Howard A Pickett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821069790 PECOS PAC ID: 1658312558 Enrollment ID: I20050523000281 |
| Provider Name | Robert L Buzard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205814910 PECOS PAC ID: 6002870771 Enrollment ID: I20100618000677 |
| Provider Name | Kelli K Hoffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639414725 PECOS PAC ID: 9335393545 Enrollment ID: I20130215000217 |
| Provider Name | Chris L Wier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912245887 PECOS PAC ID: 4688810369 Enrollment ID: I20130425000147 |
| Provider Name | Teresa J Short |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235117110 PECOS PAC ID: 5193964765 Enrollment ID: I20130612000486 |
| Provider Name | Petisha J Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134589542 PECOS PAC ID: 6507163961 Enrollment ID: I20160330000447 |
| Provider Name | Bethanne F Cordova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750938320 PECOS PAC ID: 2769816255 Enrollment ID: I20191216001042 |
Northland Gastroenterology Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1345 N Jesse James Rd, Excelsior Springs, MO 64024 Phone: 816-630-0900 Fax: 816-637-3250 | |
Nurture Family Chiropractic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 463 S Thompson Ave, Excelsior Springs, MO 64024 Phone: 816-812-1988 | |
The Excelsior Springs Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 199 S Mccleary Rd, Suite 100, Excelsior Springs, MO 64024 Phone: 816-630-6071 Fax: 816-630-4465 | |
Momentum Chiropractic And Wellness Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 463 S Thompson Ave, Excelsior Springs, MO 64024 Phone: 913-461-9070 | |
Bartlett Family Healthcare Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1236 N Jesse James Rd, Excelsior Springs, MO 64024 Phone: 816-630-6699 Fax: 816-637-2028 | |
Excelsior Springs Physicians Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1700 Rainbow Blvd, Excelsior Springs, MO 64024 Phone: 816-629-2623 Fax: 816-629-2722 | |
Excelsior Springs Physicians Clinics Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1700 Rainbow Blvd, Excelsior Springs, MO 64024 Phone: 816-629-2623 Fax: 816-629-2722 |