Hilary A Frescoln, MD
Individual provider Active NPI Family Medicine Physician · Mt View, MO
NPI 1366478588 · NPPES record last updated Oct 2, 2014
Key facts
- NPI
- 1366478588
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 2011017815 (MO)
- Practice address
- 104 East Hwy 60
Mt View, MO 65548-0000 - Phone
- (417) 934-2251
- Fax
- (417) 934-2871
- NPI assigned
- Jun 23, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 12
Owned or controlled facilities with NPI records 2
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Missouri, Columbia School of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mercy Clinic Springfield Communities
Practice addresses (Care Compare)
104 E US Hwy 60
Mountain View, MO 65548-7381
Phone (417) 934-2251
1605 Martin Springs Dr
Rolla, MO 65401-2980
Hospital & facility affiliations
- Centerwell Home Health
- Mercy St Francis Hospital
- Mercy Hospital Springfield
- Ozarks Healthcare
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 2
| Facility | Type | Role | Since |
|---|---|---|---|
| Mercy St Francis Hospital |
Hospital | Corporate Director | Jul 1, 2013 |
| Mercy St Francis Hospital |
Hospital | Corporate Director | Jul 1, 2013 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121009000739 | MO | Practitioner - Family Practice | 2163425265 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic Springfield Communities | Family Medicine | Current |
Accepting new patients |
| Mercy Clinic Springfield Communities | Family Medicine | Current |
Accepting new patients |
| Mercy Clinic Springfield Communities | Family Medicine | Current |
Accepting new patients |
| Ozarks Medical Center | Family Medicine | Past | Accepting new patients |
Locations
1717 S Range Line Rd
Ste B
Joplin, MO 64804
Phone (417) 556-2231
104 E US Highway 60
Mountain View, MO 65548
Phone (417) 934-1738
1605 Martin Springs Dr
Ste 330
Rolla, MO 65401
Phone (573) 458-6379
1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379
2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905
Interoperability endpoints
- hfrescoln288024@directb.mercy.net
- hfrescoln297680@directc.mercy.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2011017815 | MO | Yes |
Addresses
Primary practice location
104 East Hwy 60
Mt View, MO 65548-0000
Mailing address
PO Box 505164
Saint Louis, MO 63150-5164
Phone (417) 829-4620
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01106286 | Other | MO | RR MCR |
| 431560263 | Other | MO | TRICARE |
| 1366478588 | Medicaid | MO |
Other names
- Mrs. Hilary A Byrne
Other providers in Mt View, MO
All providers in Mt View, MO · Family Medicine Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 2, 2014. 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.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.