| Dale A Lockhert, MD | |
|
1870 Bagnell Dam Blvd, Lake Ozark, MO 65049 | |
| (573) 365-2318 | |
| (573) 365-3009 |
| Full Name | Dale A Lockhert |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 32 Years |
| Location | 1870 Bagnell Dam Blvd, Lake Ozark, 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 |
|---|---|---|---|
| 1659369635 | NPI | - | NPPES |
| 204980916 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 2000150390 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Elara Caring | Jefferson city, MO | Home health agency |
| Lake Regional Health System | Osage beach, MO | Hospital |
| University Of Missouri Health Care | Columbia, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lake Regional Health System | 9133026776 | 114 |
| 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 |
|---|---|
| Dale A Lockhert, MD 105 E Washington St, Kennett, MO 63857-2041 Ph: (873) 888-1137 | Dale A Lockhert, MD 1870 Bagnell Dam Blvd, Lake Ozark, MO 65049 Ph: (573) 365-2318 |
Dr. Donald L. Wilhelm, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2221 Bagnell Dam Blvd, Lake Ozark, MO 65049 Phone: 573-635-5264 Fax: 573-556-5757 | |
Dr. Grant Michael Barnum, D.O. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1870 Bagnell Dam Blvd, Lake Ozark, MO 65049 Phone: 573-365-2318 Fax: 573-365-3009 |