| Hometown Medical Group, Llc | |
|
2195 N Citation Ave Springfield MO 65802-5420 | |
| (417) 476-6033 | |
| (417) 429-4543 |
| Full Name | Hometown Medical Group, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2195 N Citation Ave, Springfield, Missouri |
| Authorized Official Name and Position | Leslie Alexander (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 3016613481 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hometown Medical Group, Llc 2195 N Citation Ave Springfield MO 65802-5420 Ph: (417) 476-6033 | Hometown Medical Group, Llc 2195 N Citation Ave Springfield MO 65802-5420 Ph: (417) 476-6033 |
| NPI Number | 1295488195 |
|---|---|
| Provider Enumeration Date | 01/31/2022 |
| Last Update Date | 01/31/2022 |
| Medicare PECOS PAC ID | 5597146431 |
|---|---|
| Medicare Enrollment ID | O20220722002428 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295488195 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Paul B Andelin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457413858 PECOS PAC ID: 1254384894 Enrollment ID: I20050223000923 |
| Provider Name | Shari L Hood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902353691 PECOS PAC ID: 4688940604 Enrollment ID: I20171019000370 |
| Provider Name | Wesley Scott Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548834864 PECOS PAC ID: 7416333596 Enrollment ID: I20220927000878 |
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Cox Senior Health Center South 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 | |
The Diagnostic Clinic 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 | |
Cox Senior Health Center 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 | |
Elfindale Family Medicine 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 | |
Jordan Valley Community Health Center 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 |