Andrew Hyatt, DO | |
2305 Georgia St, Louisiana, MO 63353-2559 | |
(573) 754-4584 | |
Not Available |
Full Name | Andrew Hyatt |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 2305 Georgia St, Louisiana, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982667986 | NPI | - | NPPES |
962601701 | Other | MO | MEDICARE GROUP PIN (LA) |
204905905 | Medicaid | MO | |
962602300 | Other | MO | MEDICARE GROUP PIN (BG) |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 5101015600 (Michigan) | Primary |
207P00000X | Emergency Medicine | 2006012804 (Missouri) | Secondary |
Entity Name | Southeast Missouri Hospital Physicians Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558311522 PECOS PAC ID: 9133024334 Enrollment ID: O20031201000775 |
Entity Name | Southeast Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811006661 PECOS PAC ID: 7719897776 Enrollment ID: O20041213000372 |
Entity Name | Southeastern Emergency Physicians Of Memphis Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437105277 PECOS PAC ID: 5395643209 Enrollment ID: O20060711000434 |
Entity Name | Southeast Health Center Of Stoddard County Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477997567 PECOS PAC ID: 7315192515 Enrollment ID: O20130605000128 |
Mailing Address | Practice Location Address |
---|---|
Andrew Hyatt, DO 2305 Georgia St, Louisiana, MO 63353-2559 Ph: (573) 754-4584 | Andrew Hyatt, DO 2305 Georgia St, Louisiana, MO 63353-2559 Ph: (573) 754-4584 |
Dr. Casey Amanda Jennings, D. O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2305 Georgia St, Louisiana, MO 63353 Phone: 573-754-4584 Fax: 573-754-5280 | |
Dr. Stephen Francis Justice, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2305 Georgia, Louisiana, MO 63353 Phone: 573-754-4584 Fax: 573-754-5280 | |
Phillip W Pitney, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 211 S 3rd St, Louisiana, MO 63353 Phone: 573-754-5555 Fax: 573-754-4077 | |
Susan T Voss, N.P. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 211 S 3rd St, Louisiana, MO 63353 Phone: 573-754-5555 Fax: 573-754-4077 | |
Howard Gilbert Greene, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2305 Georgia St, Louisiana, MO 63353 Phone: 573-754-4584 Fax: 573-754-5280 | |
Jan F Onik, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 211 S 3rd St, Louisiana, MO 63353 Phone: 573-754-5555 Fax: 573-754-4077 |