Missouri Delta Medical Center - Medicare Primary Care in Sikeston, MO

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Missouri Delta Medical Center is a medicare enrolled primary clinic (Internal Medicine) in Sikeston, Missouri. The current practice location for Missouri Delta Medical Center is 1008 N Main St, Sikeston, Missouri. For appointments, you can reach them via phone at (573) 471-1600. The mailing address for Missouri Delta Medical Center is 1008 N Main St, Sikeston, Missouri and phone number is (573) 471-1600.

Missouri Delta Medical Center is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1508967860. 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 (573) 471-1600.

Contact Information

Missouri Delta Medical Center
1008 N Main St
Sikeston
MO 63801-5044
(573) 471-1600
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameMissouri Delta Medical Center
SpecialityInternal Medicine
Location1008 N Main St, Sikeston, Missouri
Authorized Official Name and PositionJason Schrumpf (CEO/PRESIDENT)
Authorized Official Contact5734727601
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Missouri Delta Medical Center
1008 N Main St
Sikeston
MO 63801-5044

Ph: (573) 471-1600		Missouri Delta Medical Center
1008 N Main St
Sikeston
MO 63801-5044

Ph: (573) 471-1600

NPI Details:

NPI Number1508967860
Provider Enumeration Date09/26/2006
Last Update Date03/12/2015

Medicare PECOS Information:

Medicare PECOS PAC ID1355252891
Medicare Enrollment IDO20040308001306

Medical Identifiers

Medical identifiers for Missouri Delta Medical Center such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508967860NPI-NPPES
506033505MedicaidMO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Secondary
207R00000XInternal Medicine (* (Not Available))Primary
207RC0000XInternal Medicine - Cardiovascular Disease (* (Not Available))Secondary
207RC0200XInternal Medicine - Critical Care Medicine (* (Not Available))Secondary
207RN0300XInternal Medicine - Nephrology (* (Not Available))Secondary
207RP1001XInternal Medicine - Pulmonary Disease (* (Not Available))Secondary
207UN0901XNuclear Medicine - Nuclear Cardiology (* (Not Available))Secondary
208000000XPediatrics (* (Not Available))Secondary
2084N0400XPsychiatry & Neurology - Neurology (* (Not Available))Secondary
2084P0800XPsychiatry & Neurology - Psychiatry (* (Not Available))Secondary
208600000XSurgery (* (Not Available))Secondary
2086S0129XSurgery - Vascular Surgery (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Missouri Delta Medical Center acts as a billing entity for following providers:
Provider NameJennifer Ann Nickell
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1710082433
PECOS PAC ID: 2961308754
Enrollment ID: I20031211000528
Provider NameMichael D Barnes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861481426
PECOS PAC ID: 1951209014
Enrollment ID: I20031229000061
Provider NamePaul Jerome Weiland
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1013931013
PECOS PAC ID: 0345137279
Enrollment ID: I20040303001196
Provider NameLisa E Colwick
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437248705
PECOS PAC ID: 4789573981
Enrollment ID: I20040315000646
Provider NameAmy Kellams Stinnett
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972593465
PECOS PAC ID: 2163410580
Enrollment ID: I20040504001435
Provider NameDeborah K Schlick
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659401933
PECOS PAC ID: 9931198199
Enrollment ID: I20040511001573
Provider NameDouglas S Fitzwater
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1619967106
PECOS PAC ID: 2365349768
Enrollment ID: I20040915000253
Provider NameMark A Meadors
Provider TypePractitioner - Hematology
Provider IdentifiersNPI Number: 1962593731
PECOS PAC ID: 1153229976
Enrollment ID: I20040927000933
Provider NameDavid W Stroud
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1588769293
PECOS PAC ID: 6709846827
Enrollment ID: I20041013000959
Provider NameGeorge Katsantonis
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1184610693
PECOS PAC ID: 3870553324
Enrollment ID: I20041019000241
Provider NameLoraine B Nolla
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1386600989
PECOS PAC ID: 2365420395
Enrollment ID: I20041025000008
Provider NameLynn N Carlton
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1922054659
PECOS PAC ID: 8426021809
Enrollment ID: I20041208000877
Provider NameCharles E Lavalle
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1477537975
PECOS PAC ID: 8325005812
Enrollment ID: I20041216000310
Provider NamePrem Sobti
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1932159993
PECOS PAC ID: 1153315411
Enrollment ID: I20050208000047
Provider NameMichael J Naughton
Provider TypePractitioner - Medical Oncology
Provider IdentifiersNPI Number: 1295752830
PECOS PAC ID: 9234173303
Enrollment ID: I20050620000468
Provider NameTina Moore
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851483523
PECOS PAC ID: 2264477496
Enrollment ID: I20050628000203
Provider NameBrandon Covert
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1639135437
PECOS PAC ID: 4587566914
Enrollment ID: I20050707000996
Provider NameStanley Ziomek
Provider TypePractitioner - Thoracic Surgery
Provider IdentifiersNPI Number: 1639124647
PECOS PAC ID: 2769424522
Enrollment ID: I20050719000005
Provider NameFred K Uthoff
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1639164965
PECOS PAC ID: 7618902586
Enrollment ID: I20050929000036
Provider NameLy T Phan
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1356430870
PECOS PAC ID: 0547288565
Enrollment ID: I20051109000014
Provider NamePaula F Guinnip
Provider TypePractitioner - Thoracic Surgery
Provider IdentifiersNPI Number: 1023239720
PECOS PAC ID: 5395723761
Enrollment ID: I20051212000212
Provider NameJoseph H Jacob
Provider TypePractitioner - Gynecological Oncology
Provider IdentifiersNPI Number: 1720030349
PECOS PAC ID: 1254352461
Enrollment ID: I20051215000627
Provider NamePascal Nyachowe
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1285684167
PECOS PAC ID: 8325069149
Enrollment ID: I20060405000581
Provider NameSarah H Curry
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1083728935
PECOS PAC ID: 2365440591
Enrollment ID: I20061121000727
Provider NameMarcia Moore
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1760554521
PECOS PAC ID: 2062409238
Enrollment ID: I20061221000190
Provider NameAngela R Menz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619081593
PECOS PAC ID: 9638273048
Enrollment ID: I20070323000491
Provider NameMuhannad F Al-kilani
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1205857216
PECOS PAC ID: 2567543663
Enrollment ID: I20080115000358
Provider NameSherry D Welker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508941626
PECOS PAC ID: 9234210287
Enrollment ID: I20080115000759
Provider NameColleen L Hunter
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1639274236
PECOS PAC ID: 1254413669
Enrollment ID: I20080124000172
Provider NameJane E Eaves
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598854945
PECOS PAC ID: 7810079902
Enrollment ID: I20080129000101
Provider NameRobert E Perry
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1659376234
PECOS PAC ID: 2264519651
Enrollment ID: I20080409000620
Provider NameSamuel Bieligk
Provider TypePractitioner - Surgical Oncology
Provider IdentifiersNPI Number: 1982618112
PECOS PAC ID: 2567423999
Enrollment ID: I20080505000127
Provider NameMichael R Freeman
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1851361455
PECOS PAC ID: 9739250010
Enrollment ID: I20080613000127
Provider NameMowaffaq R Said
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1629173554
PECOS PAC ID: 3375611981
Enrollment ID: I20081009000540
Provider NameSyed M S Sayeed
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1619190162
PECOS PAC ID: 0840358289
Enrollment ID: I20081029000130
Provider NameKenneth C Moy
Provider TypePractitioner - Pain Management
Provider IdentifiersNPI Number: 1639164189
PECOS PAC ID: 2961550686
Enrollment ID: I20090506000185
Provider NameAndrew J Moore
Provider TypePractitioner - Medical Oncology
Provider IdentifiersNPI Number: 1881813202
PECOS PAC ID: 0042357147
Enrollment ID: I20091022000113
Provider NameMurtaza Hayat
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1669426383
PECOS PAC ID: 5496759771
Enrollment ID: I20100206000106
Provider NameAmber N Thorne
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427385376
PECOS PAC ID: 0547305229
Enrollment ID: I20100305000260
Provider NameGregorio L Rodriguez
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1790883064
PECOS PAC ID: 6103961636
Enrollment ID: I20100308000724
Provider NameRoger Bost
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1881672418
PECOS PAC ID: 1254241037
Enrollment ID: I20100603000665
Provider NameWalter L Johnston
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215163498
PECOS PAC ID: 7214067800
Enrollment ID: I20100608000578
Provider NameStephen B Lillard
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1285625749
PECOS PAC ID: 4284780529
Enrollment ID: I20100716000216
Provider NameEric George Morton
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1841292216
PECOS PAC ID: 2264513480
Enrollment ID: I20100727000884
Provider NameLinza T Killion
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1033108691
PECOS PAC ID: 8527158823
Enrollment ID: I20100824000699
Provider NameMichele L Tanz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013222983
PECOS PAC ID: 2466578463
Enrollment ID: I20100928000387
Provider NameLaurel A Campbell
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1063618932
PECOS PAC ID: 7618169343
Enrollment ID: I20101013000062
Provider NameStephen T Welton
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1922078328
PECOS PAC ID: 9234038464
Enrollment ID: I20101019001548
Provider NameRamiro Icaza
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1457463960
PECOS PAC ID: 1052505740
Enrollment ID: I20101026001419
Provider NameLee Catherine Chesnick
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891095501
PECOS PAC ID: 2769679208
Enrollment ID: I20101209000207
Provider NameAdonis De Bernardo
Provider TypePractitioner - Preventive Medicine
Provider IdentifiersNPI Number: 1528247970
PECOS PAC ID: 3375726052
Enrollment ID: I20110318000365
Provider NameHusam H Najjar
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1154485381
PECOS PAC ID: 1456457589
Enrollment ID: I20110801000197
Provider NameJeffrey D Griesemer
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1851551907
PECOS PAC ID: 2365627247
Enrollment ID: I20110801000227
Provider NameKarl E. Shanstrom
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1689815201
PECOS PAC ID: 1951570399
Enrollment ID: I20110801000954
Provider NameLoring R Helfrich
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1881793727
PECOS PAC ID: 9032381165
Enrollment ID: I20111013000173
Provider NameCharlotte Dewitt
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104106509
PECOS PAC ID: 2860670510
Enrollment ID: I20120112000327
Provider NamePenny D Shelton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881617116
PECOS PAC ID: 7113967977
Enrollment ID: I20120203000478
Provider NameJohn T Lake
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1629270194
PECOS PAC ID: 2567621196
Enrollment ID: I20120316000481
Provider NameRaymond E Sisk
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699067645
PECOS PAC ID: 8325202252
Enrollment ID: I20120605000764
Provider NameJessica G Landis
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1629354196
PECOS PAC ID: 7911156526
Enrollment ID: I20120925000462
Provider NameBrenna Maria C Keller
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1932261104
PECOS PAC ID: 7113078361
Enrollment ID: I20121023000587
Provider NamePavan N Palepu
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1851591614
PECOS PAC ID: 9436296068
Enrollment ID: I20121112000353
Provider NameJudith S Menz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538264072
PECOS PAC ID: 3971744012
Enrollment ID: I20130801000152
Provider NameMargaret L Dicus
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386733830
PECOS PAC ID: 8224279385
Enrollment ID: I20130801000330
Provider NameMary D Stephens
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962571083
PECOS PAC ID: 6901049998
Enrollment ID: I20130823000018
Provider NamePaul Montany
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1750377099
PECOS PAC ID: 9335199140
Enrollment ID: I20131115001562
Provider NameRudy R Rodriguez
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1841436870
PECOS PAC ID: 0446487581
Enrollment ID: I20131216001131
Provider NameLadonna J Williams
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861826968
PECOS PAC ID: 9739319757
Enrollment ID: I20140312001832
Provider NameRami Alassaad
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1235449265
PECOS PAC ID: 5799903167
Enrollment ID: I20140826002419
Provider NameSusanne R Owens
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1811259955
PECOS PAC ID: 0345564613
Enrollment ID: I20150114000883
Provider NameJames Timothy Urhahn
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1235492562
PECOS PAC ID: 2668437765
Enrollment ID: I20150114001428
Provider NameSandra A Robison
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1780072280
PECOS PAC ID: 4385968577
Enrollment ID: I20150116000771
Provider NameCourtney J Yarbrough
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942638622
PECOS PAC ID: 2961632310
Enrollment ID: I20150116001658
Provider NameFallan Mayabb
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1437440245
PECOS PAC ID: 0648581280
Enrollment ID: I20150623001471
Provider NameLuis Arcay Montagne
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1225346802
PECOS PAC ID: 0244541761
Enrollment ID: I20150624001168
Provider NameChase Lynn Sessions
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1366702813
PECOS PAC ID: 7012238843
Enrollment ID: I20150722004190
Provider NameElena R Lopez
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1831161132
PECOS PAC ID: 5698081552
Enrollment ID: I20150909000347
Provider NameAshley Oldham
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669858429
PECOS PAC ID: 9537476999
Enrollment ID: I20150916003440
Provider NameHollie Wheeler
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619274933
PECOS PAC ID: 3072745892
Enrollment ID: I20151104002101
Provider NameRebecca Lenderman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841658523
PECOS PAC ID: 0244538312
Enrollment ID: I20160406001613
Provider NameAbdel-qader Al-bashabsheh
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1316387319
PECOS PAC ID: 2163717851
Enrollment ID: I20160819000409
Provider NameCyriacus Anaele
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1942456256
PECOS PAC ID: 2769541366
Enrollment ID: I20170118001413
Provider NameNivedita Nagam
Provider TypePractitioner - Rheumatology
Provider IdentifiersNPI Number: 1437461290
PECOS PAC ID: 8022242056
Enrollment ID: I20170202001528
Provider NameBriana L Thompson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083152847
PECOS PAC ID: 7416230644
Enrollment ID: I20170213001612
Provider NameAnimesh Sahai
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1538258629
PECOS PAC ID: 2860468352
Enrollment ID: I20170613002399
Provider NameMadhu Sahai
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1972658979
PECOS PAC ID: 3476531443
Enrollment ID: I20170816003914
Provider NameMargaret Rachel Coppage
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053835918
PECOS PAC ID: 7719252311
Enrollment ID: I20171009000150
Provider NameValancia Henderson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487102588
PECOS PAC ID: 2264708692
Enrollment ID: I20171030001569
Provider NameJames Jeremiah Mooty
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467952606
PECOS PAC ID: 9931460862
Enrollment ID: I20180309001145
Provider NameOmar Mohammad Khan
Provider TypePractitioner - Hospice/palliative Care
Provider IdentifiersNPI Number: 1508832841
PECOS PAC ID: 9931276193
Enrollment ID: I20180316001201
Provider NameKristin Presley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922501923
PECOS PAC ID: 2062774698
Enrollment ID: I20180320001630
Provider NameTwan Robinson
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1568979722
PECOS PAC ID: 2062774243
Enrollment ID: I20180328001634
Provider NameSharaye Grandberry
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1992212153
PECOS PAC ID: 1850653049
Enrollment ID: I20180328001750
Provider NameTara Hux
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821572595
PECOS PAC ID: 6709130214
Enrollment ID: I20181120002145
Provider NameAlexandria M Barker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891270666
PECOS PAC ID: 5991049470
Enrollment ID: I20181211001065
Provider NameRowdy J Phillips
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336612779
PECOS PAC ID: 0547508244
Enrollment ID: I20190205000200
Provider NameGrace Jackson
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1659460814
PECOS PAC ID: 4183760945
Enrollment ID: I20190404002390
Provider NameBrooke M Carlyle
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316430440
PECOS PAC ID: 3779816186
Enrollment ID: I20190617002108
Provider NameAlicia A King
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1255884359
PECOS PAC ID: 9335475573
Enrollment ID: I20190725003547
Provider NameJami Obermann
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1558890145
PECOS PAC ID: 8325374093
Enrollment ID: I20190801003342
Provider NameEnock E Faustin
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1033440631
PECOS PAC ID: 8224463435
Enrollment ID: I20200116001249
Provider NameLouis Leskosky
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1295777563
PECOS PAC ID: 1951310218
Enrollment ID: I20200129001304
Provider NameDavid A Leitman
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1427378298
PECOS PAC ID: 2961750898
Enrollment ID: I20200204002511
Provider NameHeather E Jackson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699308569
PECOS PAC ID: 9335561745
Enrollment ID: I20200611002660
Provider NameStacy D Latham
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457998809
PECOS PAC ID: 4880016963
Enrollment ID: I20200618000207
Provider NameAlicia Maria Henao Uribe
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1295922995
PECOS PAC ID: 3375969512
Enrollment ID: I20200818002671
Provider NameCurt Mcclellan
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1558331389
PECOS PAC ID: 0143219584
Enrollment ID: I20200827001545
Provider NameSamantha Marie Broughton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700447315
PECOS PAC ID: 9537586060
Enrollment ID: I20200831000099
Provider NameHeather Pullen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659987725
PECOS PAC ID: 3678992393
Enrollment ID: I20200930000964
Provider NameTarek Odah
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1629599519
PECOS PAC ID: 3173942778
Enrollment ID: I20201001000575
Provider NameEnrique Villavicencio Sumire
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1386027506
PECOS PAC ID: 8426303298
Enrollment ID: I20201026002767
Provider NameKayla Babb-dicus
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508484890
PECOS PAC ID: 8921414673
Enrollment ID: I20210304001595
Provider NameEric N Butler
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1346699386
PECOS PAC ID: 7810397783
Enrollment ID: I20210615000158
Provider NameAllison E Sindle
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1609305713
PECOS PAC ID: 1850661307
Enrollment ID: I20210625001094
Provider NameJessica Michelle Thompson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073196044
PECOS PAC ID: 7012310287
Enrollment ID: I20210726001708
Provider NameAlana Michele Jackson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073186102
PECOS PAC ID: 5597168591
Enrollment ID: I20210728003290
Provider NameJessica Shaw
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1043984388
PECOS PAC ID: 1254737711
Enrollment ID: I20210908002538
Provider NameMuhammad Ehtisham
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1407222433
PECOS PAC ID: 3779890629
Enrollment ID: I20211104002539
Provider NameMinni Malhotra
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1528257508
PECOS PAC ID: 5698849206
Enrollment ID: I20220110001439
Provider NameJacob Russell Randich
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1922668755
PECOS PAC ID: 3274915079
Enrollment ID: I20220726002090
Provider NameZachary Michael Shaw
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1972269587
PECOS PAC ID: 0446633135
Enrollment ID: I20220812001113
Provider NameMacey Laplant
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1750037735
PECOS PAC ID: 8022484260
Enrollment ID: I20221013000947
Provider NameJuliana A Jones
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124749775
PECOS PAC ID: 5294102430
Enrollment ID: I20221101002299
Provider NameAndrianna Pagona Gonzalez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760101133
PECOS PAC ID: 6608245907
Enrollment ID: I20221208001247
Provider NameDavid James Gibson
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1437498276
PECOS PAC ID: 3375941248
Enrollment ID: I20230111002344
Provider NameTimothy James Hoe-yan Moy
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1083318109
PECOS PAC ID: 4789049883
Enrollment ID: I20230425000694
Provider NameGirish Singhania
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1558660217
PECOS PAC ID: 8527297100
Enrollment ID: I20230630001557
Provider NameLacey Rose Young
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1932728300
PECOS PAC ID: 6002238490
Enrollment ID: I20230812000071
Provider NameMaradale Olivia Karafa
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972283331
PECOS PAC ID: 8820451826
Enrollment ID: I20230823003379
Provider NameNatalia Rose Vandeven
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194407635
PECOS PAC ID: 4183087687
Enrollment ID: I20230831001286
Provider NameEugene Galperin
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1548318330
PECOS PAC ID: 9436127776
Enrollment ID: I20231025002494
Provider NameMuhammad Tariq Shakoor
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1952656498
PECOS PAC ID: 7113153099
Enrollment ID: I20231026000932
Provider NameJessica Peterson
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1871906107
PECOS PAC ID: 8325382732
Enrollment ID: I20231031001104
Provider NameJonathan Lee Hulkower
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1063597961
PECOS PAC ID: 0749323343
Enrollment ID: I20231113000829
Provider NameBabak Attaran Rezaei
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1205141041
PECOS PAC ID: 5799905394
Enrollment ID: I20231121000569
Provider NameMuhammad Rehan Azher Puri
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1972850170
PECOS PAC ID: 0749591055
Enrollment ID: I20231128001218
Provider NameNidal Badran
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1831662568
PECOS PAC ID: 5597098640
Enrollment ID: I20231222001902
Provider NameHasan Riaz
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1780831164
PECOS PAC ID: 8426372681
Enrollment ID: I20240103003752
Provider NameRoni Sharon
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1548581275
PECOS PAC ID: 4385863877
Enrollment ID: I20240104000239
Provider NameBatool Kirmani
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1316070576
PECOS PAC ID: 0345332912
Enrollment ID: I20240108000757
Provider NameJoseph Carcione
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1528085149
PECOS PAC ID: 4688675945
Enrollment ID: I20240213001933
Provider NameKhurram Nazir
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1619261252
PECOS PAC ID: 1951615871
Enrollment ID: I20240215000879
Provider NamePrashanth Reddy
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1811420763
PECOS PAC ID: 5496148116
Enrollment ID: I20240412001103

Reviews and Comments


Internal Medicine in Sikeston, MO

Women's Care Center
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 1013 North Main, Sikeston, MO 63801
Phone: 573-472-7535    Fax: 573-472-7787
Managed Care Inc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 808 Hunter, Suite 4, Sikeston, MO 63801
Phone: 573-471-2905    
Sikeston Medical Center
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 200 Southland Dr, Sikeston, MO 63801
Phone: 573-472-1770    Fax: 573-472-4050
Missouri Delta Medical Center
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1008 N Main St, Sikeston, MO 63801
Phone: 573-471-1600    Fax: 573-472-7740
Missouri Delta Primary Care
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 102 Hospitality Dr, Sikeston, MO 63801
Phone: 573-471-0200    Fax: 573-471-7559
Missouri Delta Medical Center
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 123 Smith Ave, Sikeston, MO 63801
Phone: 573-471-0200    
Missouri Delta Medical Center
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1008 N Main St, Sikeston, MO 63801
Phone: 573-471-1600    Fax: 573-472-7740

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.