| Brandon W Covert, DO | |
|
1102 W 32nd St, Joplin, MO 64804-3503 | |
| (417) 347-6611 | |
| (417) 347-6662 |
| Full Name | Brandon W Covert |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 28 Years |
| Location | 1102 W 32nd St, Joplin, Missouri |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639135437 | NPI | - | NPPES |
| 843471 | Other | BCBS KS FOR MO LOCATION | |
| 200346940D | Medicaid | KS | |
| P00364462 | Other | RR MEDICARE GROUP CK7871 | |
| 106093 | Other | BCBS KS FOR KS LOCATION | |
| 207364902 | Medicaid | MO | |
| 35466021 | Other | MO | BCBS OF KC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 2019024227 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Missouri Delta Medical Center | Sikeston, MO | Hospital |
| Saint Francis Medical Center | Cape girardeau, MO | Hospital |
| Southeasthealth | Cape girardeau, MO | Hospital |
| Poplar Bluff Regional Medical Center | Poplar bluff, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Missouri Delta Medical Center | 1355252891 | 128 |
| Entity Name | Missouri Delta Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508967860 PECOS PAC ID: 1355252891 Enrollment ID: O20040308001306 |
| Entity Name | Sonoran Radiology Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033745708 PECOS PAC ID: 3375964505 Enrollment ID: O20210715000420 |
| Mailing Address | Practice Location Address |
|---|---|
| Brandon W Covert, DO Po Box 3810, Joplin, MO 64803-3810 Ph: (417) 347-6611 | Brandon W Covert, DO 1102 W 32nd St, Joplin, MO 64804-3503 Ph: (417) 347-6611 |
Dr. John K Williams, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1102 W 32nd St, Joplin, MO 64804 Phone: 417-347-1213 Fax: 417-347-6266 | |
Dr. Enock Elie Faustin, M.D Radiology Medicare: Accepting Medicare Assignments Practice Location: 1102 W 32nd St, Joplin, MO 64804 Phone: 417-347-6611 Fax: 417-347-6662 | |
Ms. Jane Seto, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1102 W 32nd St, Joplin, MO 64804 Phone: 417-347-1111 | |
Yara Touma, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1102 W 32nd St, Joplin, MO 64804 Phone: 417-347-1111 | |
Mohammad Hammadur Rahman, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 1102 W 32nd St, Joplin, MO 64804 Phone: 417-347-6611 | |
Luciano De Lima Villarinho, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1102 W 32nd St, Joplin, MO 64804 Phone: 417-347-5521 | |
Dr. Richard J Price, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 100 Mercy Way, Joplin, MO 64804 Phone: 417-781-2727 Fax: 760-520-8523 |