Victoria Anne Robbins (NPI# 1750832390, PAC ID# 2466731153) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
Nation Provider ID (NPI) | 1750832390 |
PAC ID by PECOS | 2466731153 |
Professional Enrollment ID | I20161121002089 |
Full Name | Victoria Anne Robbins |
Organization Legal Name | SOUTHEAST MISSOURI HEALTH NETWORK |
Address |
6724 State Hwy 77 Benton MO 63736-8238 |
Phone Number | 5735454200 |
Gender | F |
Medical School | SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 2016 |
Primary Specialty | PHYSICIAN ASSISTANT |
Group Practice PAC ID | 6507818044 |
Number of Group Practice Members | 12 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
260113 | MISSOURI DELTA MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
6724 State Hwy 77, Benton, MO 63736-8238 | 5735454200 | SOUTHEAST MISSOURI HEALTH NETWORK |
421 Semo Dr, New Madrid Family Clinic, New Madrid, MO 63869-1733 | 5737482592 | SOUTHEAST MISSOURI HEALTH NETWORK |
200 Southland Dr, Sikeston, MO 63801-4403 | 5734721770 | SOUTHEAST MISSOURI HEALTH NETWORK |
Organization Legal Name | SOUTHEAST MISSOURI HEALTH NETWORK |
Physicians | 12 |
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 |
Amanda Bader | Nurse Practitioner | Southeast Missouri Health Network | 6724 State Hwy 77, Benton, MO 63736-8238 |
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 |
Street Address |
6724 STATE HWY 77 |
City | BENTON |
State | MO |
Zip | 63736-8238 |
Name | Specialty | Organization | Address |
---|---|---|---|
Amanda Bader | Nurse Practitioner | Southeast Missouri Health Network | 6724 State Hwy 77, Benton, MO 63736-8238 |
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 |
Nathan S Sprengel | Family Medicine | Southeast Missouri Health Network | 6724 State Hwy 77, Benton, MO 63736-8238 |
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 |
City | BENTON |
Zip Code | 63736 |
Specialty | PHYSICIAN ASSISTANT |
City + Specialty | BENTON + PHYSICIAN ASSISTANT |
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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.