| |
215 North Street Waynesville MO 65583 | |
(573) 774-6279 | |
(573) 774-5626 |
Full Name | |
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Speciality | Family Medicine |
Location | 215 North Street, Waynesville, Missouri |
Authorized Official Name and Position | Rebecca Lynn Mcclain (FNP-C) |
Authorized Official Contact | 5735280273 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 4475 Waynesville MO 65583 Ph: (573) 528-0273 | 215 North Street Waynesville MO 65583 Ph: (573) 774-6279 |
NPI Number | 1972133460 |
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Provider Enumeration Date | 01/23/2020 |
Last Update Date | 06/25/2020 |
Medicare PECOS PAC ID | 2769811546 |
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Medicare Enrollment ID | O20200330002089 |
Identifier | Type | State | Issuer |
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1972133460 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Rebecca Lynn Mcclain |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407491400 PECOS PAC ID: 3678902459 Enrollment ID: I20200330003568 |
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