| Carroll Robert Wetzel, MD | |
|
1602 N 2nd St, Clinton, MO 64735-1192 | |
| (660) 885-8171 | |
| (660) 890-8490 |
| Full Name | Carroll Robert Wetzel |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 38 Years |
| Location | 1602 N 2nd St, Clinton, 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 |
|---|---|---|---|
| 1841212362 | NPI | - | NPPES |
| 206786600 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | R2H39 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Golden Valley Memorial Hospital | Clinton, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Golden Valley Memorial Hospital District | 4688561814 | 123 |
| Entity Name | Golden Valley Memorial Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003873266 PECOS PAC ID: 4688561814 Enrollment ID: O20040407001299 |
| Mailing Address | Practice Location Address |
|---|---|
| Carroll Robert Wetzel, MD 1602 N 2nd St, Clinton, MO 64735-1192 Ph: (660) 885-8171 | Carroll Robert Wetzel, MD 1602 N 2nd St, Clinton, MO 64735-1192 Ph: (660) 885-8171 |
Gregory Sainnoval, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1602 N 2nd St, Clinton, MO 64735 Phone: 660-885-8171 | |
Dr. Gus S Wetzel Ii, Surgery Medicare: Accepting Medicare Assignments Practice Location: 1602 N 2nd St, Clinton, MO 64735 Phone: 660-885-8171 Fax: 660-890-8490 | |
Dr. Sunanda Ghosh, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1602 N 2nd St, Clinton, MO 64735 Phone: 660-885-8171 | |
Dr. Kimberly Michelle Jones, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1602 N 2nd St, Clinton, MO 64735 Phone: 660-885-5511 |