Midwest OB GYN of Missouri LLC
A Medicare group practice based in Poplar Bluff, MO: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 3870853294), with 2 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 3870853294
- Provider type
- Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice
- Enrolled in
- MO
- Enrollments
- 2
- Group size
- 2 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 4
Enrollment records 2
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20180205000283 | MO | Part B Supplier - Clinic/Group Practice | 1699728543 |
| O20210430000555 | MO | Part A Provider - Rural Health Clinic | 1396337473 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Midwest OB GYN of Missouri, L.L.C.
- Obstetrics & Gynecology Physician
- Poplar Bluff, MO
- NPI 1699728543
-
Midwest OB GYN of Missouri, LLC
- Rural Health Clinic/Center
- Poplar Bluff, MO
- NPI 1396337473
Practice locations
- Poplar Bluff, MO4
Clinicians 2
Clinicians who reassign their Medicare benefits to this group (2) or whom Care Compare lists as members (2).
-
Sandy D Johns, WHNP-BC
- Obstetrics & Gynecology Nurse Practitioner
- Poplar Bluff, MO
- NPI 1578908091
-
John R Patty, D.O.
- Obstetrics & Gynecology Physician
- Poplar Bluff, MO
- NPI 1326094566
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.