<unavail> in Neosho, MO - Medicare Internal Medicine

is a medicare enrolled primary clinic (Internal Medicine) in Neosho, Missouri. The current practice location for is 1355 Rocketdyne Rd, Neosho, Missouri. For appointments, you can reach them via phone at (417) 451-7425. The mailing address for is Po Box 4725, Joplin, Missouri and phone number is (417) 451-7425.

is licensed to practice in Missouri (license number 2007032918). The clinic also participates in the medicare program and its NPI number is 1407052616. 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) 451-7425.

Contact Information


	1355 Rocketdyne Rd Neosho MO 64850-3106
	(417) 451-7425
	(417) 451-7455

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Internal Medicine
Location	1355 Rocketdyne Rd, Neosho, Missouri
Authorized Official Name and Position	Tina Rene Sweeten (MANAGER)
Authorized Official Contact	4175406798
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Po Box 4725 Joplin MO 64803-4725 Ph: (417) 451-7425	1355 Rocketdyne Rd Neosho MO 64850-3106 Ph: (417) 451-7425

NPI Details:

NPI Number	1407052616
Provider Enumeration Date	06/25/2007
Last Update Date	04/25/2017

Medicare PECOS Information:

Medicare PECOS PAC ID	0941275911
Medicare Enrollment ID	O20071023000141

Medical Identifiers

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

Identifier	Type	State	Issuer
1407052616	NPI	-	NPPES
000015453	Other	MO	MEDICARE PTAN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	12749 (Oklahoma)	Secondary
207R00000X	Internal Medicine	2007032918 (Missouri)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:

Provider Name	Angela Williams
Provider Type	Practitioner - Nurse Practitioner
Provider Identifiers	NPI Number: 1700392537 PECOS PAC ID: 4385904416 Enrollment ID: I20180208002969

Reviews and Comments

Internal Medicine in Neosho, MO

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- Medicare Primary Care in Neosho, MO