Dr Mark R Katsaros, DO | |
1515 Union Ave, Moberly, MO 65270-9407 | |
(660) 263-8400 | |
Not Available |
Full Name | Dr Mark R Katsaros |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 1515 Union Ave, Moberly, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1306894019 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 114695 (Missouri) | Primary |
Entity Name | Capital Region Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477980837 PECOS PAC ID: 4688573686 Enrollment ID: O20070323000507 |
Entity Name | The Curators Of The University Of Missouri |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235126921 PECOS PAC ID: 4486759560 Enrollment ID: O20070418000290 |
Entity Name | Capital Emergency Physicians, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871626309 PECOS PAC ID: 8527104520 Enrollment ID: O20091006000015 |
Mailing Address | Practice Location Address |
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Dr Mark R Katsaros, DO 1 Hospital Dr, University Of Missouri Emergency Department, Columbia, MO 65201-5276 Ph: (660) 263-8400 | Dr Mark R Katsaros, DO 1515 Union Ave, Moberly, MO 65270-9407 Ph: (660) 263-8400 |
Loy C Puckett, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1515 Union Ave, Moberly, MO 65270 Phone: 660-269-3157 | |
Dennis L Smith, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1600 N Morley St Ste A120, Moberly, MO 65270 Phone: 660-372-9595 Fax: 660-372-9696 |