| Charles Thomas Fielder, MD | |
|
29 Nw 1st Lane, Lamar, MO 64759-8105 | |
| (417) 681-5100 | |
| (417) 681-5510 |
| Full Name | Charles Thomas Fielder |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 45 Years |
| Location | 29 Nw 1st Lane, Lamar, 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 |
|---|---|---|---|
| 1740200369 | NPI | - | NPPES |
| 100096060A | Medicaid | OK | |
| 202389946 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | R5G49 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cox Barton County Hospital | Lamar, MO | Hospital |
| Cox Medical Center Branson | Branson, MO | Hospital |
| Cox Monett Hospital | Monett, MO | Hospital |
| Cox Medical Centers | Springfield, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cox Barton County Hospital | 8820329782 | 30 |
| Skaggs Community Hospital Association | 5092624320 | 222 |
| Entity Name | Skaggs Community Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871786905 PECOS PAC ID: 5092624320 Enrollment ID: O20040129000626 |
| Entity Name | Cox-monett Hospital, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942467410 PECOS PAC ID: 0345236667 Enrollment ID: O20040422000710 |
| Entity Name | Cox Barton County Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1922514629 PECOS PAC ID: 8820329782 Enrollment ID: O20191008003071 |
| Entity Name | Cox Barton County Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174166177 PECOS PAC ID: 8820329782 Enrollment ID: O20200116001299 |
| Mailing Address | Practice Location Address |
|---|---|
| Charles Thomas Fielder, MD Po Box 7411626, Chicago, IL 60674-5626 Ph: Not Available | Charles Thomas Fielder, MD 29 Nw 1st Lane, Lamar, MO 64759-8105 Ph: (417) 681-5100 |
Stephen C Tines, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 29 Nw 1st Ln, Lamar, MO 64759 Phone: 417-681-5100 Fax: 417-681-5521 |