Midwest Medical Practitioners Llc is a medicare enrolled primary clinic (Clinic/center - Rural Health) in Desoto, Missouri. The current practice location for Midwest Medical Practitioners Llc is 120 Boyd St, Desoto, Missouri. For appointments, you can reach them via phone at
(636) 282-0380. The mailing address for Midwest Medical Practitioners Llc is 1153 E Gannon Dr, Festus, Missouri and phone number is (636) 282-0380.
Midwest Medical Practitioners Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1174260111. 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
(636) 282-0380.
Primary Care Clinic Profile
| Full Name | Midwest Medical Practitioners Llc |
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| Speciality | Clinic/Center |
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| Location | 120 Boyd St, Desoto, Missouri |
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| Authorized Official Name and Position | Danish A Jabbar (OWNER) |
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| Authorized Official Contact | 6362820380 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Midwest Medical Practitioners Llc
1153 E Gannon Dr
Festus
MO 63028-2611
Ph: (636) 282-0380 | Midwest Medical Practitioners Llc
120 Boyd St
Desoto
MO 63020
Ph: (636) 282-0380 |
NPI Details:
| NPI Number | 1174260111 |
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| Provider Enumeration Date | 05/19/2022 |
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| Last Update Date | 05/19/2022 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 8729398425 |
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| Medicare Enrollment ID | O20221117000472 |
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Medical Identifiers
Medical identifiers for Midwest Medical Practitioners Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1174260111 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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