Western Missouri Internal Medicine | |
502 Burkarth Rd Warrensburg MO 64093-3104 | |
(660) 429-2128 | |
(660) 429-3615 |
Full Name | Western Missouri Internal Medicine |
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Speciality | Internal Medicine |
Location | 502 Burkarth Rd, Warrensburg, Missouri |
Authorized Official Name and Position | Michael Dean Ohmart (CFO) |
Authorized Official Contact | 6602627307 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Western Missouri Internal Medicine 502 Burkarth Rd Warrensburg MO 64093-3104 Ph: (660) 429-2128 | Western Missouri Internal Medicine 502 Burkarth Rd Warrensburg MO 64093-3104 Ph: (660) 429-2128 |
NPI Number | 1578876751 |
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Provider Enumeration Date | 07/16/2010 |
Last Update Date | 02/20/2024 |
Medicare PECOS PAC ID | 2567643380 |
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Medicare Enrollment ID | O20110225000602 |
Identifier | Type | State | Issuer |
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1578876751 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Syed P Hasan |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1861418121 PECOS PAC ID: 4789693011 Enrollment ID: I20060414000077 |
Provider Name | Bedilu W Woldaregay |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1588843866 PECOS PAC ID: 2163506817 Enrollment ID: I20090819000065 |
Provider Name | Kasey N Heiman |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134660665 PECOS PAC ID: 4688950330 Enrollment ID: I20170411001897 |
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