Dr Maria Magnolia Soriano Espejo, MD is a
Family Medicine physician based in Mound City, Missouri. Dr Maria Magnolia Soriano Espejo is licensed to practice in Missouri (license number 2008035883) and her current practice location is 1303 State St, Mound City, Missouri. She can be reached at her office (for appointments etc.) via phone at
(660) 442-5464.
NPI number for Dr Maria Magnolia Soriano Espejo is 1790972495 and her current mailing address is 1303 State St, Mound City, Missouri. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1790972495.
Physician's Profile
| Full Name | Dr Maria Magnolia Soriano Espejo |
|---|
| Gender | Female |
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| Speciality | Family Medicine |
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| Location | 1303 State St, Mound City, Missouri |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1790972495
- Provider Enumeration Date: 09/27/2007
- Last Update Date: 03/07/2023
Medical Identifiers
Medical identifiers for Dr Maria Magnolia Soriano Espejo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1790972495 | NPI | - | NPPES |
| 1405261053 | Other | MO | BNDD |
| 1790972495 | Medicaid | MO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 2008035883 (Missouri) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Maria Magnolia Soriano Espejo is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Maria Magnolia Soriano Espejo, MD
1303 State St,
Mound City, MO 64470-1717
Ph: (660) 442-5464 | Dr Maria Magnolia Soriano Espejo, MD
1303 State St,
Mound City, MO 64470-1717
Ph: (660) 442-5464 |
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