| Jefferson Medical Group | |
|
1502 N Jefferson St Carrollton MO 64633-1948 | |
| (660) 542-9998 | |
| (660) 542-9880 |
| Full Name | Jefferson Medical Group |
|---|---|
| Speciality | Clinic/Center |
| Location | 1502 N Jefferson St, Carrollton, Missouri |
| Authorized Official Name and Position | Amy Danielle Ireland (CFO) |
| Authorized Official Contact | 6603296005 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jefferson Medical Group 1502 N Jefferson St Carrollton MO 64633-1948 Ph: (660) 542-9998 | Jefferson Medical Group 1502 N Jefferson St Carrollton MO 64633-1948 Ph: (660) 542-9998 |
| NPI Number | 1619276367 |
|---|---|
| Provider Enumeration Date | 03/21/2011 |
| Last Update Date | 10/29/2021 |
| Medicare PECOS PAC ID | 6800894379 |
|---|---|
| Medicare Enrollment ID | O20110512000274 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619276367 | NPI | - | NPPES |
| 598993301 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Jefferson Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1502 N Jefferson St, Carrollton, MO 64633 Phone: 660-542-9998 Fax: 660-542-9880 | |
Live Well Community Health Center Carrollton Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 E 9th St, Carrollton, MO 64633 Phone: 877-344-3572 Fax: 866-228-4492 | |
Hcc Network Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 718 Harvest Hills Dr, Carrollton, MO 64633 Phone: 877-344-3572 Fax: 866-228-4492 | |
Carroll County Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1502 N Jefferson St, St Suite A B, Carrollton, MO 64633 Phone: 660-542-3865 Fax: 660-542-0336 | |
Hcc Of Carroll County Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1502 N Jefferson St, Carrollton, MO 64633 Phone: 660-542-1695 | |
Reid Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1401 N Jefferson St, Carrollton, MO 64633 Phone: 660-542-3900 Fax: 660-542-3902 |