Managed Care Inc
Organization Active NPI Primary Care Clinic/Center · Sikeston, MO
NPI 1013949593 · NPPES record last updated Jan 3, 2017
Key facts
- NPI
- 1013949593
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Primary Care Clinic/Center 261QP2300X
- Legal business name
- MANAGED CARE INC
- Practice address
- 808 Hunter
Suite 4
Sikeston, MO 63801-2248 - Phone
- (573) 471-2905
- NPI assigned
- Jul 7, 2006
- Organization subpart
- No
Authorized official
- Name
- Donald B Bedell
- Title
- President
- Phone
- (573) 471-1276
Other NPIs on the same Medicare enrollment 1
Other NPIs with the same Medicare PAC ID 1
Practitioners 7
-
Kelley Leann Collier, MSN, FNP-C
-
Deanna S Dial, APRN
-
Melinda G Lambert, FNP
-
Christi Lyn Jameson, MSN, APRN, FNP-BC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040302001107 | MO | Part B Supplier - Clinic/Group Practice | 1951298157 |
Receives reassigned benefits from 7 practitioners 1 other NPI on this enrollment Practice locations: Sikeston, MO |
National Provider Directory
Locations
808 Hunter Ave
Ste 4
Sikeston, MO 63801
Phone (573) 471-2905
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Yes |
Addresses
Primary practice location
808 Hunter
Suite 4
Sikeston, MO 63801-2248
Mailing address
PO Box 1210
Sikeston, MO 63801-1210
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 508373305 | Medicaid | MO |
Other providers in Sikeston, MO
- La Donna S Lynch
- Jamie Macdonald
- Mark John Madigan
- Anna Majors
- Making Visions Possible
- Managed Care Inc
- Gil B Manalo
- Mane RX LLC
- Alisha Dawn Manes
- Macy Faye Manier
All providers in Sikeston, MO · Primary Care Clinic/Center in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 3, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.