<unavail> in Poplar Bluff, MO - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Rural Health) in Poplar Bluff, Missouri. The current practice location for is 2002 Kanell Blvd, Poplar Bluff, Missouri. For appointments, you can reach them via phone at (573) 727-9130. The mailing address for is 1200 N One Mile Rd, Dexter, Missouri and phone number is (573) 614-1938.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1780927871. 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) 727-9130.

Contact Information


	2002 Kanell Blvd Poplar Bluff MO 63901-4045
	(573) 727-9130
	(573) 727-9128

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	2002 Kanell Blvd, Poplar Bluff, Missouri
Authorized Official Name and Position	Krista Berry (CFO)
Authorized Official Contact	5733316028
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
1200 N One Mile Rd Dexter MO 63841-1000 Ph: (573) 614-1938	2002 Kanell Blvd Poplar Bluff MO 63901-4045 Ph: (573) 727-9130

NPI Details:

NPI Number	1780927871
Provider Enumeration Date	03/27/2013
Last Update Date	01/13/2024

Medicare PECOS Information:

Medicare PECOS PAC ID	7315192515
Medicare Enrollment ID	O20151211000859

Medical Identifiers

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

Identifier	Type	State	Issuer
1780927871	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QR1300X	Clinic/center - Rural Health	(* (Not Available))	Primary

Reviews and Comments

Clinic/Center in Poplar Bluff, MO

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Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2002 Kanell Blvd, Suite 101, Poplar Bluff, MO 63901 Phone: 573-778-9292 Fax: 573-778-0801
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- Medicare Primary Care in Poplar Bluff, MO