Patricia Kelley Deforest
DO | Pediatrics | Female
Patricia Kelley Deforest, DO is a Rolla, Missouri based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Patricia Kelley Deforest is
1050 W 10th St, Rolla, Missouri - 65401-2905. She can be contacted on phone at
573-426-3225 and fax number 573-202-2444.
Patricia Kelley Deforest is a sole proprietor of her business.
NPI number (Unique professional ID) for Patricia Kelley Deforest is
1386030526 which was assigned by NPPES on 14 Apr, 2015 and it was last updated on 31 Dec, 2020.
Patricia Kelley Deforest license number is
2020039826 for Pediatrics (208000000X) in Missouri.
Patricia Kelley Deforest is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Patricia Kelley Deforest basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Patricia Kelley Deforest |
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| Credential : | DO |
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| Gender : | Female |
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Business Address:
Patricia Kelley Deforest address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1050 W 10th St
Rolla, MO, 65401-2905
United States |
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| Phone Number : | 573-426-3225 |
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| Fax Number : | 573-202-2444 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1386030526 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 14 Apr, 2015 |
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| Last Updated On : | 31 Dec, 2020 |
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Medicare Participation:
Patricia Kelley Deforest participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 5294025953 |
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| Medicare Enrollment ID : | I20190613002969 |
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| Primary Specialty : | Pediatric Medicine |
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| Medical School : | Edward Via Col Of Osteo Medicine-virginia Campus |
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| Graduation Year : | 2015 |
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| Accepts Medicare? | Yes. Patricia Kelley Deforest accepts medicare insurance. |
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Group Practice Association:
Patricia Kelley Deforest is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Patricia Kelley Deforest is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
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| Community Medicine Associates | 7719979509 | 230 | 903 W Martin St
Robert B Green Comp Care Clinic
San Antonio, TX - 782070903
Ph: 2103585437 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Patricia Kelley Deforest are as mentioned. Primary taxonomy code for Patricia Kelley Deforest, DO is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 208000000X | Pediatrics | No | R7197 | TX |
| 208000000X | Pediatrics | Yes | 2020039826 | MO |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1050 W 10th St
Rolla, MO, 65401-2905
United States |
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| Phone Number : | 573-426-3225 |
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| Fax Number : | 573-202-2444 |
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Business Location:
Patients can refer following map for directions to
Patricia Kelley Deforest practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.