Ricky Mofsen (NPI# 1306921812, PAC ID# 6002959442) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1306921812 |
| PAC ID by PECOS | 6002959442 |
| Professional Enrollment ID | I20100206000233 |
| Full Name | Ricky Mofsen |
| Organization Legal Name | MARK TWAIN ASSOCIATION FOR MENTAL HEALTH INC |
| Address |
105 Pfeiffer Ave Kirksville MO 63501-5047 |
| Phone Number | 6606654612 |
| Gender | M |
| Medical School | UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES |
| Graduation Year | 1985 |
| Primary Specialty | PSYCHIATRY |
| Group Practice PAC ID | 9436376969 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260022 | NORTHEAST REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 105 Pfeiffer Ave, Kirksville, MO 63501-5047 | 6606654612 | MARK TWAIN ASSOCIATION FOR MENTAL HEALTH INC |
| Organization Legal Name | MARK TWAIN ASSOCIATION FOR MENTAL HEALTH INC |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Geoffrey M Westhoff | Nurse Practitioner | Mark Twain Association for Mental Health Inc | 154 Forrest Dr, Hannibal, MO 63401-5503 |
| Angela M Caraway | Clinical Social Worker | Mark Twain Association for Mental Health Inc | 105 Pfeiffer Ave, Kirksville, MO 63501-5047 |
| Carolyn K Greening | Certified Clinical Nurse Specialist (cns) | Mark Twain Association for Mental Health Inc | 154 Forrest Dr, Hannibal, MO 63401-5503 |
| Theodore J Oliver | Clinical Social Worker | Mark Twain Association for Mental Health Inc | 154 Forrest Dr, Hannibal, MO 63401-5503 |
| Jessica L Lang | Clinical Social Worker | Mark Twain Association for Mental Health Inc | 154 Forrest Dr, Hannibal, MO 63401-5503 |
| Janet K Hultgren | Clinical Social Worker | Mark Twain Association for Mental Health Inc | 154 Forrest Dr, Hannibal, MO 63401-5503 |
| Jessica Hunolt | Clinical Social Worker | Mark Twain Association for Mental Health Inc | 105 Pfeiffer Ave, Kirksville, MO 63501-5047 |
| David E Goldman | Psychiatry | Mark Twain Association for Mental Health Inc | 154 Forrest Dr, Hannibal, MO 63401-5503 |
| Kristine M Whitehead | Clinical Social Worker | Mark Twain Association for Mental Health Inc | 154 Forrest Dr, Hannibal, MO 63401-5503 |
| Andrew Lovy | Psychiatry | Mark Twain Association for Mental Health Inc | 105 Pfeiffer Ave, Kirksville, MO 63501-5047 |
| Street Address |
105 PFEIFFER AVE |
| City | KIRKSVILLE |
| State | MO |
| Zip | 63501-5047 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Angela M Caraway | Clinical Social Worker | Mark Twain Association for Mental Health Inc | 105 Pfeiffer Ave, Kirksville, MO 63501-5047 |
| Jessica Hunolt | Clinical Social Worker | Mark Twain Association for Mental Health Inc | 105 Pfeiffer Ave, Kirksville, MO 63501-5047 |
| Andrew Lovy | Psychiatry | Mark Twain Association for Mental Health Inc | 105 Pfeiffer Ave, Kirksville, MO 63501-5047 |
| Darlene N Salmons | Clinical Social Worker | Mark Twain Association for Mental Health Inc | 105 Pfeiffer Ave, Kirksville, MO 63501-5047 |
| Rachael K Holton | Clinical Social Worker | Mark Twain Association for Mental Health Inc | 105 Pfeiffer Ave, Kirksville, MO 63501-5047 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John Bailey | Orthopedic Surgery | 1701 N Elson St, Kirksville, MO 63501-1129 | |
| Michelle L Woodward | Qualified Audiologist | Woodward Audiology, LLC | 700 W Jefferson St, Gutensohn Clinic 4th Floor, Kirksville, MO 63501-1441 |
| Mariah Nina Richard | Qualified Audiologist | Woodward Audiology, LLC | 700 W Jefferson St, Gutensohn Clinic 4th Floor, Kirksville, MO 63501-1441 |
| Daniel R Richert | Qualified Audiologist | Woodward Audiology, LLC | 700 W Jefferson St, Gutensohn Clinic 4th Floor, Kirksville, MO 63501-1441 |
| Emily J Finley | Audiologist | Woodward Audiology, LLC | 700 W Jefferson St, Gutensohn Clinic 4th Floor, Kirksville, MO 63501-1441 |
| Ronald Leland Phillips | Family Practice | At Still University of Health Sciences | 800 W Jefferson, Kirksville, MO 63501-1443 |
| Tyler O'neil Eschbach | Physician Assistant | Kirksville Clinic Corp | 800 W Jefferson St, Kirksville, MO 63501-1443 |
| Jessica Kile Caine | General Surgery | Heartland Surgical Specialists LLP | 800 W Jefferson St, Kirksville, MO 63501-1443 |
| Jonathan M Beary | Neurology | Kirksville Clinic Corp | 800 W Jefferson St, Kirksville, MO 63501-1443 |
| Philip S Mcintire | General Surgery | Heartland Surgical Specialists LLP | 800 W Jefferson St, Kirksville, MO 63501-1443 |
| Find all physicians in zip 63501 | |||
| City | KIRKSVILLE |
| Zip Code | 63501 |
| Specialty | PSYCHIATRY |
| City + Specialty | KIRKSVILLE + PSYCHIATRY |
Please comment or provide details below to improve the information on Ricky Mofsen.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.