Amanda Bader
SOUTHEAST MISSOURI HEALTH NETWORK


Address: 6724 State Hwy 77, Benton, MO 63736-8238
Phone: 5735454200

Amanda Bader (NPI# 1255696001, PAC ID# 8820245772) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.

Physician Overview

Nation Provider ID (NPI) 1255696001
PAC ID by PECOS 8820245772
Professional Enrollment ID I20131202001557
Full Name Amanda Bader
Organization Legal Name SOUTHEAST MISSOURI HEALTH NETWORK
Address 6724 State Hwy 77
Benton
MO 63736-8238
Phone Number 5735454200
Gender F
Graduation Year 2012
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 6507818044
Number of Group Practice Members 12
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
260160 SOUTHEASTHEALTH CENTER OF STODDARD COUNTY
260119 POPLAR BLUFF REGIONAL MEDICAL CENTER
260113 MISSOURI DELTA MEDICAL CENTER
260183 SAINT FRANCIS MEDICAL CENTER

Other Locations

Address Phone Organization
6724 State Hwy 77, Benton, MO 63736-8238 5735454200 SOUTHEAST MISSOURI HEALTH NETWORK
200 Southland Dr, Sikeston, MO 63801-4403 5734721770 SOUTHEAST MISSOURI HEALTH NETWORK

Organization Information

Organization Legal Name SOUTHEAST MISSOURI HEALTH NETWORK
Physicians 12

Physicians with the same organization

Name Specialty Organization Address
Karyn Dean Nurse Practitioner Southeast Missouri Health Network 223 S 3rd St, Hayti Medical Clinic, Hayti, MO 63851-1617
Danielle Elizabeth Jansen Nurse Practitioner Southeast Missouri Health Network 200 Southland Dr, Sikeston, MO 63801-4403
Jennifer L Lawrence Nurse Practitioner Southeast Missouri Health Network 500 Russell St, Kennett, MO 63857-2102
Daniel G Domjan Family Medicine Southeast Missouri Health Network 200 Southland Dr, Sikeston, MO 63801-4403
Rebecca Vanessa Young Nurse Practitioner Southeast Missouri Health Network 200 Southland Dr, Sikeston, MO 63801-4403
Judith Haggard Nurse Practitioner Southeast Missouri Health Network 500 Russell St, Kennett, MO 63857-2102
Delayna Hunter Nurse Practitioner Southeast Missouri Health Network 6724 State Hwy 77, Benton, MO 63736-8238
William B Bradley Nurse Practitioner Southeast Missouri Health Network 200 Southland Dr, Sikeston, MO 63801-4403
Travis James Weiss Physician Assistant Southeast Missouri Health Network 6724 State Hwy 77, Benton, MO 63736-8238
Victoria Anne Robbins Physician Assistant Southeast Missouri Health Network 6724 State Hwy 77, Benton, MO 63736-8238

Office Location

Street Address 6724 STATE HWY 77
City BENTON
State MO
Zip 63736-8238

Physicians in the same location

Name Specialty Organization Address
Delayna Hunter Nurse Practitioner Southeast Missouri Health Network 6724 State Hwy 77, Benton, MO 63736-8238
Travis James Weiss Physician Assistant Southeast Missouri Health Network 6724 State Hwy 77, Benton, MO 63736-8238
Victoria Anne Robbins Physician Assistant Southeast Missouri Health Network 6724 State Hwy 77, Benton, MO 63736-8238
Nathan S Sprengel Family Medicine Southeast Missouri Health Network 6724 State Hwy 77, Benton, MO 63736-8238

Physicians in the same zip code

Name Specialty Organization Address
Margaret L Dicus Nurse Practitioner Missouri Delta Medical Center 6468 State Hwy 77, Benton, MO 63736-8237
Amber N Thorne Nurse Practitioner Missouri Delta Medical Center 6468 State Hwy 77, Benton, MO 63736-8237
Michael J Jessup Obstetrics/gynecology 142 S Winchester, Benton, MO 63736-9998

Competitor

Search similar physicians

City BENTON
Zip Code 63736
Specialty NURSE PRACTITIONER
City + Specialty BENTON + NURSE PRACTITIONER

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Dataset Information

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.

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