Edgar M Conrad Iv, Llc - Medicare Primary Care in Joplin, MO

Edgar M Conrad Iv, Llc is a medicare enrolled primary clinic (Internal Medicine) in Joplin, Missouri. The current practice location for Edgar M Conrad Iv, Llc is 2700 Cunningham Ave, Suite 103, Joplin, Missouri. For appointments, you can reach them via phone at (417) 782-3292. The mailing address for Edgar M Conrad Iv, Llc is 2700 Cunningham Ave, Suite 103, Joplin, Missouri and phone number is (417) 782-3292.

Edgar M Conrad Iv, Llc is licensed to practice in Missouri (license number 107748). The clinic also participates in the medicare program and its NPI number is 1336309228. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (417) 782-3292.

Contact Information

Edgar M Conrad Iv, Llc
2700 Cunningham Ave
Suite 103
Joplin
MO 64801-1570
(417) 782-3292
(417) 782-4024

Primary Care Clinic Profile

Full NameEdgar M Conrad Iv, Llc
SpecialityInternal Medicine
Location2700 Cunningham Ave, Joplin, Missouri
Authorized Official Name and PositionEdgar M Conrad (PROPRIETOR)
Authorized Official Contact4147823292
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Edgar M Conrad Iv, Llc
2700 Cunningham Ave
Suite 103
Joplin
MO 64801-1570

Ph: (417) 782-3292
Edgar M Conrad Iv, Llc
2700 Cunningham Ave
Suite 103
Joplin
MO 64801-1570

Ph: (417) 782-3292

NPI Details:

NPI Number1336309228
Provider Enumeration Date06/13/2008
Last Update Date08/11/2008

Medicare PECOS Information:

Medicare PECOS PAC ID2668546409
Medicare Enrollment IDO20090112000362

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Medical Identifiers

Medical identifiers for Edgar M Conrad Iv, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336309228NPI-NPPES
248016636MedicaidMO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 107748 (Missouri)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Edgar M Conrad Iv, Llc acts as a billing entity for following providers:
Provider NameEdgar M Conrad
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1124055074
PECOS PAC ID: 0042250920
Enrollment ID: I20050510000819

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