| Christine Ann Livek, MD | |
|
304a E 4th St, Eldon, MO 65026-1808 | |
| (573) 557-2400 | |
| (573) 557-2401 |
| Full Name | Christine Ann Livek |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 304a E 4th St, Eldon, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194758011 | NPI | - | NPPES |
| 425118205 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2013023002 (Missouri) | Primary |
| Entity Name | Lake Regional Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053581454 PECOS PAC ID: 9133026776 Enrollment ID: O20070511000147 |
| Mailing Address | Practice Location Address |
|---|---|
| Christine Ann Livek, MD Po Box 1500, Osage Beach, MO 65065-1500 Ph: () - | Christine Ann Livek, MD 304a E 4th St, Eldon, MO 65026-1808 Ph: (573) 557-2400 |
Dr. Paul Bernabe, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 304a E 4th St, Eldon, MO 65026 Phone: 573-392-5654 Fax: 573-392-5692 | |
Karen M Hoffman, FNP-C Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 177 Blue Spring Dr, Eldon, MO 65026 Phone: 314-413-0099 | |
Michael Scott Griswold, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 103 Business Hwy 54 North, Eldon, MO 65026 Phone: 573-392-2124 Fax: 573-392-6375 |