Luke Monell Wicke (NPI# 1588926620, PAC ID# 3870828353) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1588926620 |
| PAC ID by PECOS | 3870828353 |
| Professional Enrollment ID | I20190708000333 |
| Full Name | Luke Monell Wicke |
| Organization Legal Name | MERCY CLINIC JOPLIN LLC |
| Address |
1717 S Range Line Rd B Mercy Convenient Care Joplin MO 64804-3224 |
| Phone Number | 4176232207 |
| Gender | M |
| Medical School | KANSAS CITY UNIVERSITY OF PHYSICIANS AND SURGEONS |
| Graduation Year | 2012 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 0547300196 |
| Number of Group Practice Members | 222 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260001 | MERCY HOSPITAL JOPLIN |
| Address | Phone | Organization |
|---|---|---|
| 1717 S Range Line Rd B, Mercy Convenient Care, Joplin, MO 64804-3224 | 4176232207 | MERCY CLINIC JOPLIN LLC |
| Organization Legal Name | MERCY CLINIC JOPLIN LLC |
| Physicians | 206 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Samantha L Mcfarland | Nurse Practitioner | Mercy Clinic Joplin LLC | 1717 S Range Line Rd B, Mc Family Medicine Rangeline, Joplin, MO 64804-3224 |
| Ezinnaya Ubagharaji | Internal Medicine | Mercy Clinic Joplin LLC | 202 E 50th St, Mc Internal Medicine 50th Street, Joplin, MO 64804-4527 |
| Justin J Dillingham | Family Medicine | Mercy Clinic Joplin LLC | 3126 S Jackson Ave, 200 Mc Lab and Imaging Services S Jackson, Joplin, MO 64804-2500 |
| Patricia C. Ridings | Nurse Practitioner | Mercy Clinic Joplin LLC | 805 Barker Dr, Oswego, KS 67356-9034 |
| Thad L Taylor | Nurse Practitioner | Mercy Clinic Joplin LLC | 100 Mercy Way, Mercy Clinic Joplin Emergency Medic, Joplin, MO 64804-4524 |
| Benjamen H Williams | Family Medicine | Mercy Clinic Joplin LLC | 220 N Pennsylvania Ave, Mc Heart Care Columbus, Columbus, KS 66725-1110 |
| Crystal M Taylor | Nurse Practitioner | Mercy Clinic Joplin LLC | 111 E 7th St, Galena, KS 66739-1229 |
| Patrick J. Stangeby | Psychiatry | Mercy Clinic Joplin LLC | 5615 W 32nd St, St Johns Clinic Joplin Psychiatry, Joplin, MO 64804-8161 |
| Trina M Larery | Nurse Practitioner | Mercy Clinic Joplin LLC | 1300 E Centennial Dr, Via Christi Mercy Clinic LLC, Pittsburg, KS 66762-6650 |
| Johnny L Venter | Pulmonary Disease | Mercy Clinic Joplin LLC | 115 W 12th St, Lamar, MO 64759-1756 |
| Street Address |
1717 S RANGE LINE RD B MERCY CONVENIENT CARE |
| City | JOPLIN |
| State | MO |
| Zip | 64804-3224 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Samantha L Mcfarland | Nurse Practitioner | Mercy Clinic Joplin LLC | 1717 S Range Line Rd B, Mc Family Medicine Rangeline, Joplin, MO 64804-3224 |
| Melanie Ann Davidson | Nurse Practitioner | Mercy Clinic Joplin LLC | 1717 S Range Line Rd B, Mercy Convenient Care, Joplin, MO 64804-3224 |
| Maria Fe Fiel Bruce | Family Medicine | Mercy Clinic Joplin LLC | 1717 S Range Line Rd B, Mercy Convenient Care, Joplin, MO 64804-3224 |
| Sarah M Dodson | Nurse Practitioner | Mercy Clinic Joplin LLC | 1717 S Range Line Rd B, Mc Family Medicine Rangeline, Joplin, MO 64804-3224 |
| Laura A Weiss | Nurse Practitioner | Mercy Clinic Joplin LLC | 1717 S Range Line Rd B, Mercy Convenient Care, Joplin, MO 64804-3224 |
| Angela R Williams | Nurse Practitioner | Mercy Clinic Joplin LLC | 1717 S Range Line Rd B, Mercy Convenient Care, Joplin, MO 64804-3224 |
| James W Dailey | Family Medicine | Mercy Clinic Joplin LLC | 1717 S Range Line Rd B, Mercy Convenient Care, Joplin, MO 64804-3224 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kevin M Whisman | Psychologist, Clinical | 3405 S Hammons Blvd, Kevin M Whisman Psyd, Joplin, MO 64804 | |
| Matthew Richins | Podiatry | 2024 S Maiden Ln, Suite 201, Joplin, MO 64804-0319 | |
| Samuel R Carter | Internal Medicine | 2024 S Maiden Ln, Suite 203, Joplin, MO 64804-0319 | |
| Valerie J Fleming | Nurse Practitioner | 2024 S Maiden Ln, Joplin, MO 64804-0319 | |
| Kathleen Lacey | Psychologist, Clinical | 1730 S Jackson Ave, Joplin, MO 64804-0555 | |
| Kim Wright | Clinical Social Worker | Renewed Mental Health LLC | 1530 S Main St, Joplin, MO 64804-0750 |
| Kimberly A Wood | Internal Medicine | 2615 E 20th St, Joplin, MO 64804-1039 | |
| Laurie L Behm | Physical Medicine and Rehabilitation | Freeman-oak Hill Health System | 1905 W 32nd St, Suite 403, Joplin, MO 64804-1501 |
| Daniel R Osborn | Ophthalmology | Missouri Eye Institute of Joplin LLC | 1905 W 32nd St, Suite 301, Joplin, MO 64804-1512 |
| Chad L Carter | Optometry | Missouri Eye Institute of Joplin LLC | 1905 W 32nd St, Suite 301, Joplin, MO 64804-1512 |
| Find all physicians in zip 64804 | |||
| City | JOPLIN |
| Zip Code | 64804 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | JOPLIN + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Luke Monell Wicke.
| 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.