| Amy R Thorne, DO | |
|
110 Business Park Dr Ste C, Branson, MO 65616-7449 | |
| (417) 336-0033 | |
| Not Available |
| Full Name | Amy R Thorne |
|---|---|
| Gender | Female |
| Speciality | Dermatology |
| Location | 110 Business Park Dr Ste C, Branson, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265878789 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 2016034327 (Missouri) | Secondary |
| 207N00000X | Dermatology | R3974 (Texas) | Secondary |
| 207N00000X | Dermatology | 6265 (Oklahoma) | Primary |
| Entity Name | Michael G. Mccauley M.d. Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295753986 PECOS PAC ID: 3870554645 Enrollment ID: O20041025000748 |
| Mailing Address | Practice Location Address |
|---|---|
| Amy R Thorne, DO Po Box 1506, Ardmore, OK 73402-1506 Ph: () - | Amy R Thorne, DO 110 Business Park Dr Ste C, Branson, MO 65616-7449 Ph: (417) 336-0033 |
Dr. Douglas Michael Leone, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 110 Business Park Dr Ste C, Branson, MO 65616 Phone: 417-336-0033 Fax: 309-452-3376 | |
Dr. Christy Shaffer Rainey, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 110 Business Park Dr, Ste C, Branson, MO 65616 Phone: 417-239-0125 Fax: 417-239-0127 |