Live Well Community Health Center-waverly - Medicare Primary Care in Waverly, MO

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Live Well Community Health Center-waverly is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Waverly, Missouri. The current practice location for Live Well Community Health Center-waverly is 608 Missouri Street, Waverly, Missouri. For appointments, you can reach them via phone at (877) 344-3572. The mailing address for Live Well Community Health Center-waverly is 825 S Business Highway 13, Lexington, Missouri and phone number is (660) 259-2440.

Live Well Community Health Center-waverly is licensed to practice in Missouri (license number ). The clinic also participates in the medicare program and its NPI number is 1174960769. 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 (877) 344-3572.

Contact Information

Live Well Community Health Center-waverly
608 Missouri Street
Waverly
MO 64096-8421
(877) 344-3572
(866) 228-4492

Map and Direction


Primary Care Clinic Profile

Full NameLive Well Community Health Center-waverly
SpecialityClinic/Center
Location608 Missouri Street, Waverly, Missouri
Authorized Official Name and PositionToniann Richard (EXECUTIVE DIRECTOR)
Authorized Official Contact6602592440
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Live Well Community Health Center-waverly
825 S Business Highway 13
Lexington
MO 64067-1515

Ph: (660) 259-2440		Live Well Community Health Center-waverly
608 Missouri Street
Waverly
MO 64096-8421

Ph: (877) 344-3572

NPI Details:

NPI Number1174960769
Provider Enumeration Date05/23/2013
Last Update Date05/10/2024

Medicare PECOS Information:

Medicare PECOS PAC ID6800034679
Medicare Enrollment IDO20131030001256

Medical Identifiers

Medical identifiers for Live Well Community Health Center-waverly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174960769NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (Missouri)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Live Well Community Health Center-waverly acts as a billing entity for following providers:
Provider NameSuzanne King
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1760469977
PECOS PAC ID: 7416906748
Enrollment ID: I20050113000699
Provider NameStephanie A Hutchison
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841396363
PECOS PAC ID: 4587691878
Enrollment ID: I20050719000323
Provider NamePreston B Howerton
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1023004652
PECOS PAC ID: 6406954395
Enrollment ID: I20070530000385
Provider NameDebra Stedem
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699088278
PECOS PAC ID: 4486770914
Enrollment ID: I20100922000100
Provider NameFawn N Zimmer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154792810
PECOS PAC ID: 2567766074
Enrollment ID: I20160203001772
Provider NameDana M Zinn
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881132587
PECOS PAC ID: 6901181205
Enrollment ID: I20170329001790
Provider NameJulie Ann Odonnell
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1114394954
PECOS PAC ID: 9638439532
Enrollment ID: I20180717003536
Provider NameWilliam R Enochs
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1144617978
PECOS PAC ID: 4880996594
Enrollment ID: I20190829002064
Provider NameAmbria Wimsatt
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1073086955
PECOS PAC ID: 3072929116
Enrollment ID: I20210315002275
Provider NameErica Marlene Collins
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1275006793
PECOS PAC ID: 3274940820
Enrollment ID: I20210325002409
Provider NameMadison Diaz
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1891362067
PECOS PAC ID: 2769884626
Enrollment ID: I20210714002983
Provider NameBriana Kim
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1891363289
PECOS PAC ID: 6305240094
Enrollment ID: I20210803000576
Provider NameJacklynn M Burk
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548916489
PECOS PAC ID: 1456748839
Enrollment ID: I20220504000856
Provider NameAdeane Louise Sollars
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770242265
PECOS PAC ID: 9133507205
Enrollment ID: I20220613000453
Provider NameMary Schnell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831978766
PECOS PAC ID: 8325495542
Enrollment ID: I20231109002334
Provider NameRachael M Parker
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1760091524
PECOS PAC ID: 4981045168
Enrollment ID: I20240520000799

Reviews and Comments


Clinic/Center in Waverly, MO


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.