- Medicare Primary Care in Hermitage, MO

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is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Hermitage, Missouri. The current practice location for is 18614 Jackson Street, Hermitage, Missouri. For appointments, you can reach them via phone at (417) 745-2121. The mailing address for is Po Box 125, Hermitage, Missouri and phone number is (417) 745-2121.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1639421050. 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) 745-2121.

Contact Information

18614 Jackson Street
Hermitage
MO 65613-0125
(417) 745-2121
(417) 745-6141

Map and Direction


Primary Care Clinic Profile

Full Name
SpecialityClinic/Center
Location18614 Jackson Street, Hermitage, Missouri
Authorized Official Name and PositionScott D Crouch (CEO)
Authorized Official Contact4177452121
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

Po Box 125
Hermitage
MO 65668-0125

Ph: (417) 745-2121
18614 Jackson Street
Hermitage
MO 65613-0125

Ph: (417) 745-2121

NPI Details:

NPI Number1639421050
Provider Enumeration Date10/09/2012
Last Update Date05/29/2024

Medicare PECOS Information:

Medicare PECOS PAC ID6002068723
Medicare Enrollment IDO20121204000137

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639421050NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (* (Not Available))Primary
261QP2300XClinic/center - Primary Care (* (Not Available))Secondary

Reviews and Comments


Clinic/Center in Hermitage, MO


Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: Hwy 254 & Dallas, Hermitage, MO 65668
Phone: 417-745-2121    

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.