<unavail> in Pilot Knob, MO - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Pilot Knob, Missouri. The current practice location for is 315 W Mulberry St, Pilot Knob, Missouri. For appointments, you can reach them via phone at (573) 546-0602. The mailing address for is 110 S 2nd St, Ellington, Missouri and phone number is (573) 663-2313.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1306037411. 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) 546-0602.

Contact Information


	315 W Mulberry St Pilot Knob MO 63663-0327
	(573) 546-0602
	(573) 546-0624

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	315 W Mulberry St, Pilot Knob, Missouri
Authorized Official Name and Position	Karen White (CEO)
Authorized Official Contact	5736632313
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
110 S 2nd St Ellington MO 63638-9400 Ph: (573) 663-2313	315 W Mulberry St Pilot Knob MO 63663-0327 Ph: (573) 546-0602

NPI Details:

NPI Number	1306037411
Provider Enumeration Date	08/05/2007
Last Update Date	02/20/2017

Medicare PECOS Information:

Medicare PECOS PAC ID	6709871007
Medicare Enrollment ID	O20071003000775

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306037411	NPI	-	NPPES
507592103	Medicaid	MO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QF0400X	Clinic/center - Federally Qualified Health Center (fqhc)	(* (Not Available))	Primary

Reviews and Comments

Clinic/Center in Pilot Knob, MO

Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 301 N Highway 21, Pilot Knob, MO 63663 Phone: 573-546-8051
Boonyasai & Boonyasai, M.d.p. C. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 St . Marys Street, Lower Level, Pilot Knob, MO 63663 Phone: 573-546-3929 Fax: 573-546-3962
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 315 W. Mulberry, Pilot Knob, MO 63663 Phone: 573-546-1001 Fax: 573-546-1002
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 St. Mary, Pilot Knob, MO 63663 Phone: 573-546-7000 Fax: 573-546-6420

- Medicare Primary Care in Pilot Knob, MO