<unavail> in Mount Vernon, MO - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Rural Health) in Mount Vernon, Missouri. The current practice location for is 1011 S East St, Mount Vernon, Missouri. For appointments, you can reach them via phone at (417) 466-7191. The mailing address for is 1011 S East St, Mount Vernon, Missouri and phone number is (417) 466-7191.

is licensed to practice in Missouri (license number 113916). The clinic also participates in the medicare program and its NPI number is 1649332156. 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 (417) 466-7191.

Contact Information


	1011 S East St Mount Vernon MO 65712-1331
	(417) 466-7191
	(417) 466-3876

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	1011 S East St, Mount Vernon, Missouri
Authorized Official Name and Position	Kim K Roberts (OFFICE MANAGER)
Authorized Official Contact	4174667191
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
1011 S East St Mount Vernon MO 65712-1331 Ph: (417) 466-7191	1011 S East St Mount Vernon MO 65712-1331 Ph: (417) 466-7191

NPI Details:

NPI Number	1649332156
Provider Enumeration Date	12/14/2006
Last Update Date	07/11/2008

Medicare PECOS Information:

Medicare PECOS PAC ID	1951353192
Medicare Enrollment ID	O20050215001046

Medical Identifiers

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

Identifier	Type	State	Issuer
1649332156	NPI	-	NPPES
590665907	Medicaid	MO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261Q00000X	Clinic/center	(* (Not Available))	Secondary
261QR1300X	Clinic/center - Rural Health	113916 (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. acts as a billing entity for following providers:

Provider Name	Cheryl L Williams
Provider Type	Practitioner - Family Practice
Provider Identifiers	NPI Number: 1730187204 PECOS PAC ID: 7315978236 Enrollment ID: I20051215000092

Provider Name	Ramonda Lynn Dugas
Provider Type	Practitioner - Nurse Practitioner
Provider Identifiers	NPI Number: 1902454309 PECOS PAC ID: 6608255781 Enrollment ID: I20220621000306

Provider Name	Amy Eileen Moenning
Provider Type	Practitioner - Nurse Practitioner
Provider Identifiers	NPI Number: 1174203939 PECOS PAC ID: 3678937463 Enrollment ID: I20230912003988

Reviews and Comments

Clinic/Center in Mount Vernon, MO

Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 N Main St, Mount Vernon, MO 65712 Phone: 417-461-5312 Fax: 417-461-5765
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 624 E Mount Vernon Blvd, Mount Vernon, MO 65712 Phone: 417-269-2460 Fax: 417-269-2462
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 108 S Hickory St, Mount Vernon, MO 65712 Phone: 417-466-4110 Fax: 417-466-4255
Oncare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 918 Sunshine Dr, Mount Vernon, MO 65712 Phone: 417-553-9583 Fax: 417-553-9585
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 W Patterson St, Mount Vernon, MO 65712 Phone: 417-466-7700
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10763 Highway 39, Suite 200, Mount Vernon, MO 65712 Phone: 417-269-2460 Fax: 417-269-2462

- Medicare Primary Care in Mount Vernon, MO