| Andrea Martin, | |
| 
					1 Hospital Dr, Columbia, MO 65212-1000  | |
| (573) 882-2275 | |
| Not Available | 
| Full Name | Andrea Martin | 
|---|---|
| Gender | Female | 
| Speciality | Surgery - Plastic And Reconstructive Surgery | 
| Location | 1 Hospital Dr, Columbia, Missouri | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1407268196 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2086S0122X | Surgery - Plastic And Reconstructive Surgery | 2014015405 (Missouri) | Primary | 
| Entity Name | Beloit Health System Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1841485984 PECOS PAC ID: 8224947858 Enrollment ID: O20080204000702  | 
| Entity Name | Landon Pryor Md Sc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1093152118 PECOS PAC ID: 0143460246 Enrollment ID: O20130715000186  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Andrea Martin, 1 Hospital Dr, Columbia, MO 65212-1000 Ph: (573) 882-2275  | Andrea Martin, 1 Hospital Dr, Columbia, MO 65212-1000 Ph: (573) 882-2275  | 
Olivia Louise Bolles, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1 Hospital Dr, Columbia, MO 65212 Phone: 573-882-4141  | |
Ioan-andrei Scumpu, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1 Hospital Dr, Mchaney Hall 404, Dco75.00, Columbia, MO 65212 Phone: 573-884-2000  | |
Marc L Miller, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 115 Business Loop 70 W, Columbia, MO 65203 Phone: 573-882-8454 Fax: 573-884-6054  | |
Dr. Mary Carr, MD Surgery Medicare: Medicare Enrolled Practice Location: 800 Hospital Dr, Columbia, MO 65201 Phone: 573-814-6000  | |
Brent W Miedema, MD Surgery Medicare: Medicare Enrolled Practice Location: 800 Hospital Dr # 617, Columbia, MO 65201 Phone: 573-814-6346  | |
Dr. Kelley Marie Ray, MD Surgery Medicare: Medicare Enrolled Practice Location: 1 Hospital Dr, Columbia, MO 65212 Phone: 573-884-2000  | |
Thalia Catalina Anderson, MD Surgery Medicare: Medicare Enrolled Practice Location: 1 Hospital Dr, Columbia, MO 65212 Phone: 573-882-4141  |