Hannibal Clinic @ Palmyra – Family Medicine Physician, NPI 1962481663

Hannibal Clinic @ Palmyra is a healthcare provider. based in Palmyra, Missouri. specializing in Family Medicine Physician. The NPI Number for Hannibal Clinic @ Palmyra is 1962481663

Main info

Organization
Name
Hannibal Clinic @ Palmyra
NPI
1962481663
Phone
(573) 769-2231
Address
1811 S MAIN ST
Authorized Official
MR. MICHAEL J BUKSTEIN PHYSICIAN EXEC DIRECTOR MD
Enumeration Date
11 January 2006
Last Update Date
18 April 2022

Contacts

Main Contact
https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness90
Years active:20State licenses:0Updated within 12 months

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Provider Addresses for Hannibal Clinic @ Palmyra

  • 1811, South Main Street, Dodge City, Palmyra, Marion County, Missouri, 63461, United States

    PALMYRA, MO 634611961

    Phone: (573) 769-2231

    Fax: (573) 769-3953

    Type: Location

  • Medical Drive, Hannibal, Marion County, Missouri, United States

    HANNIBAL, MO 634016877

    Phone: (573) 221-5250

    Fax: (573) 231-3706

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 63461)

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Reviews

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Frequently asked questions

What identifier follows Hannibal Clinic @ Palmyra across health systems?
The NPI 1962481663 uniquely identifies Hannibal Clinic @ Palmyra in U.S. healthcare data.
Is Hannibal Clinic @ Palmyra currently accepting referrals based on NPI status?
Registry metadata lists Hannibal Clinic @ Palmyra as active.
What does the directory say Hannibal Clinic @ Palmyra does?
Insurance directories may phrase it differently, but here Hannibal Clinic @ Palmyra maps to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Hannibal Clinic @ Palmyra?
Hannibal Clinic @ Palmyra is associated with Palmyra, Missouri in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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