| Riverside Family Medicine Pc | |
|
3129 Blattner Dr Cape Girardeau MO 63703-6364 | |
| (573) 335-0166 | |
| (573) 335-7942 |
| Full Name | Riverside Family Medicine Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 3129 Blattner Dr, Cape Girardeau, Missouri |
| Authorized Official Name and Position | James E Palen (PHYSICIAN) |
| Authorized Official Contact | 5733350166 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Riverside Family Medicine Pc 3129 Blattner Dr Cape Girardeau MO 63703-6364 Ph: (573) 335-0166 | Riverside Family Medicine Pc 3129 Blattner Dr Cape Girardeau MO 63703-6364 Ph: (573) 335-0166 |
| NPI Number | 1255610150 |
|---|---|
| Provider Enumeration Date | 08/09/2011 |
| Last Update Date | 08/09/2011 |
| Medicare PECOS PAC ID | 7012189715 |
|---|---|
| Medicare Enrollment ID | O20110930000136 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255610150 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Pamela K Himstedt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164690236 PECOS PAC ID: 7517045065 Enrollment ID: I20080423000624 |
| Provider Name | James R Palen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598902728 PECOS PAC ID: 7517012230 Enrollment ID: I20091105000159 |
| Provider Name | James E Palen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114973161 PECOS PAC ID: 3173535127 Enrollment ID: I20100108000181 |
| Provider Name | Lori Ann Moyers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023145125 PECOS PAC ID: 4385716034 Enrollment ID: I20100901000070 |
| Provider Name | Karen M Abt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144672577 PECOS PAC ID: 8224322920 Enrollment ID: I20160803001010 |
| Provider Name | Valerie Ann Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386094241 PECOS PAC ID: 6103110697 Enrollment ID: I20160805001560 |
| Provider Name | Amanda L Wareing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164932448 PECOS PAC ID: 6800162355 Enrollment ID: I20171027000772 |
| Provider Name | Cassandra L Doss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649747403 PECOS PAC ID: 6103160270 Enrollment ID: I20181129002561 |
Johns Healthcare Services Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2001 Independence St Ste A, Cape Girardeau, MO 63703 Phone: 573-304-3143 Fax: 573-334-0493 | |
Cross Trails Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2430 Golden Street, Cape Girardeau, MO 63703 Phone: 573-339-1196 Fax: 573-339-9378 | |
Auburn Surgery Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 S Mount Auburn Rd, Ste 200, Cape Girardeau, MO 63703 Phone: 573-332-7881 Fax: 573-651-4431 | |
Midtown Family Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 24 N Sprigg St, Cape Girardeau, MO 63701 Phone: 573-332-7992 Fax: 573-332-7998 | |
Kenneth A Decoursey, Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1723 Broadway St, Suite 120, Cape Girardeau, MO 63701 Phone: 573-334-7194 Fax: 573-334-4937 | |
Immediate Healthcare, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1702 N Kingshighway St, Cape Girardeau, MO 63701 Phone: 573-339-2000 Fax: 573-339-1876 | |
Immediate Convenient Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1702 N Kingshighway St, Cape Girardeau, MO 63701 Phone: 573-339-2000 |