| Midwest Health Group Llc | |
|
555 West Pine Street Farmington MO 63640 | |
| (573) 747-1510 | |
| (573) 747-1080 |
| Full Name | Midwest Health Group Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 555 West Pine Street, Farmington, Missouri |
| Authorized Official Name and Position | Paul S Moniz (OWNER) |
| Authorized Official Contact | 5737471510 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Midwest Health Group Llc 555 West Pine Street Farmington MO 63640 Ph: (573) 747-1510 | Midwest Health Group Llc 555 West Pine Street Farmington MO 63640 Ph: (573) 747-1510 |
| NPI Number | 1295857340 |
|---|---|
| Provider Enumeration Date | 04/06/2007 |
| Last Update Date | 09/04/2018 |
| Medicare PECOS PAC ID | 7214021385 |
|---|---|
| Medicare Enrollment ID | O20070920000034 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295857340 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Gina L Heberlie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316053028 PECOS PAC ID: 0547174633 Enrollment ID: I20031113000393 |
| Provider Name | Julie M Koppeis Mctearnen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437135241 PECOS PAC ID: 5698717346 Enrollment ID: I20050524000357 |
| Provider Name | Diane M Radosevich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992884183 PECOS PAC ID: 5193744944 Enrollment ID: I20051122000228 |
| Provider Name | Paul S Moniz |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1154373017 PECOS PAC ID: 2961414149 Enrollment ID: I20060707000288 |
| Provider Name | Stephanie A Moniz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235180688 PECOS PAC ID: 1951313139 Enrollment ID: I20060707000297 |
| Provider Name | Victoria A Damba |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326099607 PECOS PAC ID: 7214952258 Enrollment ID: I20060707000304 |
| Provider Name | Guy D Roberts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528085156 PECOS PAC ID: 8022102193 Enrollment ID: I20070920000044 |
| Provider Name | Christina A Rariden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881854354 PECOS PAC ID: 1254490568 Enrollment ID: I20081031000203 |
| Provider Name | Nedra G Harrington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386805786 PECOS PAC ID: 4981764073 Enrollment ID: I20081119000427 |
| Provider Name | Angelica Lappe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891006623 PECOS PAC ID: 6507053923 Enrollment ID: I20101211000015 |
| Provider Name | Lisa L Mengwasser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659724946 PECOS PAC ID: 9436444247 Enrollment ID: I20160818000302 |
| Provider Name | Kelly M Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568912129 PECOS PAC ID: 9032493549 Enrollment ID: I20170301000884 |
| Provider Name | April A Brannum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972159341 PECOS PAC ID: 9335571975 Enrollment ID: I20191119003071 |
| Provider Name | Misty D Cain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013548403 PECOS PAC ID: 3476980533 Enrollment ID: I20200302001162 |
| Provider Name | Zacharias Alan Dane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124758495 PECOS PAC ID: 0840671590 Enrollment ID: I20220713001119 |
Saint Francis Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 515 Maple Valley Dr, Farmington, MO 63640 Phone: 573-760-7920 Fax: 573-576-9597 | |
Parkland Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1105 W Liberty St, Ste 4050, Farmington, MO 63640 Phone: 573-756-7844 Fax: 573-756-9597 | |
Mineral Area Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 764 Weber Rd, Farmington, MO 63640 Phone: 573-756-2123 Fax: 573-756-2761 | |
Mineral Area Doctors Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1103 Weber Rd Ste 202, Farmington, MO 63640 Phone: 573-756-3662 Fax: 573-756-3640 | |
Great Mines Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1040 Forster St Rm E2a, Farmington, MO 63640 Phone: 573-438-9355 | |
Great Mines Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 608 Pine St Ofc 2, Farmington, MO 63640 Phone: 573-438-9355 | |
Great Mines Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 Murphy Ave Rm C2, Farmington, MO 63640 Phone: 573-438-9355 |