| |
400 W Clay Ave Plattsburg MO 64477-1424 | |
(816) 539-2117 | |
(816) 539-3301 |
Full Name | |
---|---|
Speciality | Family Medicine |
Location | 400 W Clay Ave, Plattsburg, Missouri |
Authorized Official Name and Position | David H Feess (MANAGING EMPLOYEE) |
Authorized Official Contact | 8164153460 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
400 W Clay Ave Plattsburg MO 64477-1424 Ph: (816) 539-2117 | 400 W Clay Ave Plattsburg MO 64477-1424 Ph: (816) 539-2117 |
NPI Number | 1740276567 |
---|---|
Provider Enumeration Date | 09/27/2005 |
Last Update Date | 03/03/2021 |
Medicare PECOS PAC ID | 6103877360 |
---|---|
Medicare Enrollment ID | O20050204000176 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740276567 | NPI | - | NPPES |
500392006 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (Missouri) | Primary |
Provider Name | Harold M Turley |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1992791701 PECOS PAC ID: 6800928193 Enrollment ID: I20100722000388 |
Provider Name | Jane Anne Bell |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1861488678 PECOS PAC ID: 9234263872 Enrollment ID: I20100817001625 |
Provider Name | Robin L Murphy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154317972 PECOS PAC ID: 7012033293 Enrollment ID: I20100924000687 |
Provider Name | Kelle N Lawson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336591643 PECOS PAC ID: 0244528818 Enrollment ID: I20161013002478 |
New Liberty Hospital Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 W Clay Ave, Plattsburg, MO 64477 Phone: 816-415-3460 Fax: 816-415-3461 | |
New Liberty Hospital Coporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 W Clay Ave, Plattsburg, MO 64477 Phone: 816-415-3460 | |