Audrain Com Clinic Family Med - Medicare Primary Care in Mexico, MO

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Audrain Com Clinic Family Med is a medicare enrolled primary clinic (Clinic/center - Rural Health) in Mexico, Missouri. The current practice location for Audrain Com Clinic Family Med is 515 E Promenade St Ste A, Mexico, Missouri. For appointments, you can reach them via phone at (573) 473-3901. The mailing address for Audrain Com Clinic Family Med is 515 E Promenade St Ste A, Mexico, Missouri and phone number is (573) 473-3901.

Audrain Com Clinic Family Med is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1447841168. 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) 473-3901.

Contact Information

Audrain Com Clinic Family Med
515 E Promenade St Ste A
Mexico
MO 65265-2966
(573) 473-3901
(573) 581-2615

Map and Direction


Primary Care Clinic Profile

Full NameAudrain Com Clinic Family Med
SpecialityClinic/Center
Location515 E Promenade St Ste A, Mexico, Missouri
Authorized Official Name and PositionAmy L Obrien (CEO)
Authorized Official Contact5735825000
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Audrain Com Clinic Family Med
515 E Promenade St Ste A
Mexico
MO 65265-2966

Ph: (573) 473-3901		Audrain Com Clinic Family Med
515 E Promenade St Ste A
Mexico
MO 65265-2966

Ph: (573) 473-3901

NPI Details:

NPI Number1447841168
Provider Enumeration Date01/27/2021
Last Update Date06/23/2022

Medicare PECOS Information:

Medicare PECOS PAC ID0446667299
Medicare Enrollment IDO20210430001237

Medical Identifiers

Medical identifiers for Audrain Com Clinic Family Med such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1447841168NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QR1300XClinic/center - Rural Health (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Audrain Com Clinic Family Med acts as a billing entity for following providers:
Provider NameMichael T Kinkade
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1588774889
PECOS PAC ID: 3678468329
Enrollment ID: I20040220000297
Provider NameWallace E Ralston
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1972556447
PECOS PAC ID: 0941272819
Enrollment ID: I20040811000239
Provider NameMiriam B Borden
Provider TypePractitioner - Rheumatology
Provider IdentifiersNPI Number: 1518966571
PECOS PAC ID: 2961463112
Enrollment ID: I20041021000642
Provider NameDarcy L Miller
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1922093608
PECOS PAC ID: 3476518713
Enrollment ID: I20041129000151
Provider NameMark F Gortmaker
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1649244161
PECOS PAC ID: 0749239036
Enrollment ID: I20050113000393
Provider NameMichael G Beat
Provider TypePractitioner - Radiation Oncology
Provider IdentifiersNPI Number: 1053341636
PECOS PAC ID: 2466481908
Enrollment ID: I20050805000076
Provider NameJohn T Oldham
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1659376390
PECOS PAC ID: 7416987540
Enrollment ID: I20050817000979
Provider NameShahid Waheed
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1134122989
PECOS PAC ID: 0345260550
Enrollment ID: I20051202000490
Provider NameJohn D Zygiel
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1134166747
PECOS PAC ID: 1456361807
Enrollment ID: I20060428000350
Provider NameSimon John Mckeown
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1114942273
PECOS PAC ID: 3678579349
Enrollment ID: I20061020000177
Provider NameDiane Jean Jacobi
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1912983560
PECOS PAC ID: 0042217168
Enrollment ID: I20061103000082
Provider NameScott M Dudley
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1184727166
PECOS PAC ID: 5092811752
Enrollment ID: I20070426000484
Provider NameNorvin E Thomas
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1447253216
PECOS PAC ID: 7517978844
Enrollment ID: I20070525000193
Provider NameMichael L Quinlan
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1134122906
PECOS PAC ID: 7810094190
Enrollment ID: I20070601000426
Provider NameRezwan Islam
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1124054556
PECOS PAC ID: 6103910369
Enrollment ID: I20070919000093
Provider NameJennifer N Clark
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1952578189
PECOS PAC ID: 6204906761
Enrollment ID: I20080610000462
Provider NameDaniel J Lamothe-jost
Provider TypePractitioner - Rheumatology
Provider IdentifiersNPI Number: 1689676512
PECOS PAC ID: 4385706829
Enrollment ID: I20081217000680
Provider NameBrian K Ellefsen
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1871694760
PECOS PAC ID: 9739239104
Enrollment ID: I20090611000535
Provider NameMichael Jones
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1972523991
PECOS PAC ID: 2668527961
Enrollment ID: I20090910000502
Provider NameAbigail Nicole Schulte
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528392024
PECOS PAC ID: 7618018151
Enrollment ID: I20100106000655
Provider NamePeggy Wanner-barjenbruch
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1326023185
PECOS PAC ID: 8921019571
Enrollment ID: I20100305000085
Provider NameRebecca Kelley
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1023099579
PECOS PAC ID: 4385554658
Enrollment ID: I20100524000534
Provider NameShamim Amini
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1265486617
PECOS PAC ID: 3779586177
Enrollment ID: I20100605000176
Provider NameLarry Albert Scroggins
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1396739629
PECOS PAC ID: 4880793488
Enrollment ID: I20100719000337
Provider NameCharles H Tillman
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1891781225
PECOS PAC ID: 5890708382
Enrollment ID: I20100817000558
Provider NameTerry Lee Berry
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1134212764
PECOS PAC ID: 8224172887
Enrollment ID: I20100908001108
Provider NameEdgar Edison Galicia
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1801834494
PECOS PAC ID: 0345331997
Enrollment ID: I20100915000567
Provider NameGregory S Wilson
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1730150673
PECOS PAC ID: 4587689328
Enrollment ID: I20101004001484
Provider NameLisa B Butler
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1376514216
PECOS PAC ID: 5799700530
Enrollment ID: I20101005000432
Provider NameDarren M Elliott
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1104898097
PECOS PAC ID: 6002942463
Enrollment ID: I20101005000489
Provider NameHyun-min Mike Kim
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1639491483
PECOS PAC ID: 2062605553
Enrollment ID: I20101015000918
Provider NameTonya A Linthacum
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972636686
PECOS PAC ID: 4789852229
Enrollment ID: I20110727000532
Provider NameCheryl G Lummis
Provider TypePractitioner - Certified Clinical Nurse Specialist (cns)
Provider IdentifiersNPI Number: 1962438762
PECOS PAC ID: 5698936516
Enrollment ID: I20120419000423
Provider NameAdrian O Chen
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1790952869
PECOS PAC ID: 5395993752
Enrollment ID: I20120911000098
Provider NameMeghan Marie Lees
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1134543614
PECOS PAC ID: 0042441065
Enrollment ID: I20140314001576
Provider NameKristina M Boylan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144648924
PECOS PAC ID: 6709002223
Enrollment ID: I20140718000970
Provider NameJohn Koonce
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1538180393
PECOS PAC ID: 2860458999
Enrollment ID: I20140729000689
Provider NameDawn M Schuette
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558757468
PECOS PAC ID: 9335460062
Enrollment ID: I20150608000349
Provider NameKristen L Richter
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1952792731
PECOS PAC ID: 3173844495
Enrollment ID: I20150611000930
Provider NameAlicia C Shaw
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124563275
PECOS PAC ID: 0840572855
Enrollment ID: I20170127001537
Provider NameAnnette Marie Holt
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659888428
PECOS PAC ID: 3678832375
Enrollment ID: I20180125000231
Provider NamePatricia E Watson-adams
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578006714
PECOS PAC ID: 5092077198
Enrollment ID: I20180402000295
Provider NameRegina Hill
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336599703
PECOS PAC ID: 4385928936
Enrollment ID: I20181004000136
Provider NameKelcy Oesterreich
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417504267
PECOS PAC ID: 5991036014
Enrollment ID: I20191003002310
Provider NameZachary Treat
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1447743083
PECOS PAC ID: 0648525386
Enrollment ID: I20210308000707
Provider NameAndrea Feger
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518530385
PECOS PAC ID: 9133519226
Enrollment ID: I20211203001578
Provider NameJonathan L Sorenson
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1063516136
PECOS PAC ID: 2860425451
Enrollment ID: I20220201002740
Provider NameHolly A Wilke
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1386064996
PECOS PAC ID: 3173845302
Enrollment ID: I20220202000124
Provider NameLogan Taylor
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1972962561
PECOS PAC ID: 5890088611
Enrollment ID: I20220202000659
Provider NameTammy L Doerhoff
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518628163
PECOS PAC ID: 9830582444
Enrollment ID: I20220203000224
Provider NameChristopher D Bourget
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1275900656
PECOS PAC ID: 1355647934
Enrollment ID: I20220203001780
Provider NameMelissa J Holcomb
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437829918
PECOS PAC ID: 0042604761
Enrollment ID: I20220223001391
Provider NameAmit Wasudeo Bhandarkar
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1962711937
PECOS PAC ID: 3678753720
Enrollment ID: I20220304001313

Reviews and Comments


Clinic/Center in Mexico, MO

Center For Digestive & Liver Diseases, Inc.
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 714 Medical Park Dr, Mexico, MO 65265
Phone: 573-581-7196    Fax: 573-581-3632
Senior Adult Care Services
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 620 E Monroe St, Mexico, MO 65265
Phone: 573-581-8127    Fax: 573-582-7053
Ziva Medical Primary Care Llc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 515 E Promenade St Ste 1, Mexico, MO 65265
Phone: 573-570-3520    
Cornerstone Family Medicine Llc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 605 E Promenade St, Mexico, MO 65265
Phone: 573-200-6078    Fax: 833-817-7109
University Physicians
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 515 E Promenade, Mexico, MO 65265
Phone: 573-582-6982    
Arthur Center Community Health
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 340 Kelley Pkwy, Mexico, MO 65265
Phone: 573-582-1234    Fax: 573-582-1212
Arthur Center
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 340 Kelley Pkwy, Mexico, MO 65265
Phone: 573-582-1234    Fax: 573-581-1981

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.