Dr Craig L Pendergrass, DO - Medicare Family Practice in Neosho, MO

Dr Craig L Pendergrass, DO is a medicare enrolled "Family Medicine" physician in Neosho, Missouri. He went to R Franklin University Of Med & Sci/chicago Medical School and graduated in 1994 and has 30 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Sgoh Acquisition Inc and his current practice location is 117 E Hickory St, Neosho, Missouri. You can reach out to his office (for appointments etc.) via phone at (417) 451-4545.

Dr Craig L Pendergrass is licensed to practice in Missouri (license number 110888) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1700835469.

Contact Information

Dr Craig L Pendergrass, DO
117 E Hickory St,
Neosho, MO 64850-1806
(417) 451-4545
(417) 451-4546



Physician's Profile

Full NameDr Craig L Pendergrass
GenderMale
SpecialityFamily Practice
Experience30 Years
Location117 E Hickory St, Neosho, Missouri
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Craig L Pendergrass attended and graduated from R Franklin University Of Med & Sci/chicago Medical School in 1994
  NPI Data:
  • NPI Number: 1700835469
  • Provider Enumeration Date: 05/09/2006
  • Last Update Date: 08/17/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9537159801
  • Enrollment ID: I20050808000189

Medical Identifiers

Medical identifiers for Dr Craig L Pendergrass such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700835469NPI-NPPES
110571OtherMOANTHEM
P00248178OtherRR MEDICARE
100296690CMedicaidKS
248916405MedicaidMO
100183590AMedicaidOK

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 110888 (Missouri)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Phoenix Home CareSpringfield, MOHome health agency
Amedisys Home Health Of MissouriJoplin, MOHome health agency
Avalon HospiceJoplin, MOHospice
Ozarks Community Hospital Of GravetteGravette, ARHospital
Freeman Neosho HospitalNeosho, MOHospital
Freeman Health System - Freeman WestJoplin, MOHospital
Mercy Hospital CarthageCarthage, MOHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sgoh Acquisition Inc509261627675

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Craig L Pendergrass allows following entities to bill medicare on his behalf.
Entity NameSgoh Acquisition Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114924768
PECOS PAC ID: 5092616276
Enrollment ID: O20040205000647

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Entity NamePrime Care Family Medicine Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487908117
PECOS PAC ID: 5092960146
Enrollment ID: O20130221000480

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Craig L Pendergrass is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Craig L Pendergrass, DO
Po Box 220,
Neosho, MO 64850-0220

Ph: (417) 451-4545
Dr Craig L Pendergrass, DO
117 E Hickory St,
Neosho, MO 64850-1806

Ph: (417) 451-4545

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Family Medicine Doctors in Neosho, MO

Charles Henry Bentlage, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 4301 Doniphan Dr, Neosho, MO 64850
Phone: 417-451-9450    
Walter Hargett, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 2550 Lusk Dr, Neosho, MO 64850
Phone: 417-451-2060    Fax: 417-451-6214
Dr. Joseph Kirk Sheppard, D.O.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 4040 La Questa Dr., Neosho, MO 64850
Phone: 417-283-4953    Fax: 417-283-4954
Reona Kenai Sowers, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 2550 Lusk Dr, Neosho, MO 64850
Phone: 417-455-7219    
Dr. Steven K Younger, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2550 Lusk Dr, Neosho, MO 64850
Phone: 417-451-2060    Fax: 417-451-2164
Dr. Barbara H Miller, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 336 S Jefferson St, Neosho, MO 64850
Phone: 417-455-4200    Fax: 417-455-4314
Rodney J Mcfarland, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 336 S Jefferson, Neosho, MO 64850
Phone: 417-455-4200    Fax: 417-455-4314

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