Justin D Puckett (NPI# 1205044146, PAC ID# 6103978101) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1205044146 |
| PAC ID by PECOS | 6103978101 |
| Professional Enrollment ID | I20090722000758 |
| Full Name | Justin D Puckett |
| Organization Legal Name | HANNIBAL REGIONAL HEALTHCARE SYSTEM INC |
| Address |
1611 S Baltimore St Complete Family Medicine Kirksville MO 63501-4518 |
| Phone Number | 6606657575 |
| Gender | M |
| Medical School | KIRKSVILLE COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2006 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 1254236300 |
| Number of Group Practice Members | 96 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260022 | NORTHEAST REGIONAL MEDICAL CENTER |
| 261313 | MACON COUNTY SAMARITAN MEMORIAL HOSPITAL |
| 260141 | UNIVERSITY OF MISSOURI HOSPITAL & CLINICS |
| Address | Phone | Organization |
|---|---|---|
| 1611 S Baltimore St, Complete Family Medicine, Kirksville, MO 63501-4518 | 6606657575 | HANNIBAL REGIONAL HEALTHCARE SYSTEM INC |
| Organization Legal Name | HANNIBAL REGIONAL HEALTHCARE SYSTEM INC |
| Physicians | 99 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Megan E Kretz | Nurse Practitioner | Hannibal Regional Healthcare System Inc | 6500 Hospital Dr, Hannibal, MO 63401-6890 |
| Tasha R Vallee | Nurse Practitioner | Hannibal Regional Healthcare System Inc | 1600 N Morley St, Complete Family Medicine, Moberly, MO 65270-3666 |
| Lisa D Parshall | Nurse Practitioner | Hannibal Regional Healthcare System Inc | 400 S Ctr St, Shelbina, MO 63468-1404 |
| Gale M Schlogl | Nurse Practitioner | Hannibal Regional Healthcare System Inc | 905 Business Hwy 161 S, Hannibal, MO 63334-2000 |
| Nola F Moore | Nurse Practitioner | Hannibal Regional Healthcare System Inc | 1611 S Baltimore St, Complete Family Medicine, Kirksville, MO 63501-4518 |
| Donald A Miller | Emergency Medicine | Hannibal Regional Healthcare System Inc | Po Box, Suite 1257, Hannibal, MO 63401-1257 |
| Adam J Samaritoni | Family Medicine | Hannibal Regional Healthcare System Inc | 6500 Hospital Dr, Hannibal, MO 63401-6890 |
| Harsha Desai | Pathology | Hannibal Regional Healthcare System Inc | Po Box, Suite 1257, Hannibal, MO 63401-1257 |
| John P Greving | Internal Medicine | Hannibal Regional Healthcare System Inc | 6500 Hospital Dr, Hannibal, MO 63401-6890 |
| Hemal Mahesh Patel | Emergency Medicine | Hannibal Regional Healthcare System Inc | Po Box, Suite 1257, Hannibal, MO 63401-1257 |
| Street Address |
1611 S BALTIMORE ST COMPLETE FAMILY MEDICINE |
| City | KIRKSVILLE |
| State | MO |
| Zip | 63501-4518 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nola F Moore | Nurse Practitioner | Hannibal Regional Healthcare System Inc | 1611 S Baltimore St, Complete Family Medicine, Kirksville, MO 63501-4518 |
| Gemma A Ciesemier | Family Medicine | Hannibal Regional Healthcare System Inc | 1611 S Baltimore St, Complete Family Medicine, Kirksville, MO 63501-4518 |
| Courtney R Nichols | Nurse Practitioner | Hannibal Regional Healthcare System Inc | 1611 S Baltimore St, Complete Family Medicine, Kirksville, MO 63501-4518 |
| Michelle L Greathouse | Nurse Practitioner | Hannibal Regional Healthcare System Inc | 1611 S Baltimore St, Complete Family Medicine, Kirksville, MO 63501-4518 |
| Amy M Linss | Nurse Practitioner | Hannibal Regional Healthcare System Inc | 1611 S Baltimore St, Complete Family Medicine, Kirksville, MO 63501-4518 |
| Shelli R Slaughter | Nurse Practitioner | Hannibal Regional Healthcare System Inc | 1611 S Baltimore St, Complete Family Medicine, Kirksville, MO 63501-4518 |
| Tristin E Neumann | Nurse Practitioner | Hannibal Regional Healthcare System Inc | 1611 S Baltimore St, Complete Family Medicine, Kirksville, MO 63501-4518 |
| John C Collins | Family Medicine | Hannibal Regional Healthcare System Inc | 1611 S Baltimore St, Complete Family Medicine, Kirksville, MO 63501-4518 |
| Kimm C Long | Certified Clinical Nurse Specialist (cns) | Hannibal Regional Healthcare System Inc | 1611 S Baltimore St, Complete Family Medicine, Kirksville, MO 63501-4518 |
| Stephanie L Robinson | Nurse Practitioner | Hannibal Regional Healthcare System Inc | 1611 S Baltimore St, Complete Family Medicine, Kirksville, MO 63501-4518 |
| Find all physicians in the same address | |||
| 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 | FAMILY MEDICINE |
| City + Specialty | KIRKSVILLE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Justin D Puckett.
| 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.