| David M Chisholm, DO | |
|
3870 Columbia Ave, Osage Beach, MO 65065-8689 | |
| (573) 302-7490 | |
| (573) 302-7895 |
| Full Name | David M Chisholm |
|---|---|
| Gender | Male |
| Speciality | Obstetrics/gynecology |
| Experience | 24 Years |
| Location | 3870 Columbia Ave, Osage Beach, 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 |
|---|---|---|---|
| 1366433419 | NPI | - | NPPES |
| 1366433419 | Medicaid | MO | |
| 951021 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 4283 (Arizona) | Secondary |
| 207V00000X | Obstetrics & Gynecology | 2023010485 (Missouri) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Richland Medical Center, Inc. | 2062554025 | 29 |
| Entity Name | Richland Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891931978 PECOS PAC ID: 2062554025 Enrollment ID: O20100525000793 |
| Mailing Address | Practice Location Address |
|---|---|
| David M Chisholm, DO Po Box 777, Richland, MO 65556-0777 Ph: (573) 708-7600 | David M Chisholm, DO 3870 Columbia Ave, Osage Beach, MO 65065-8689 Ph: (573) 302-7490 |
Mario Alejandro Macias Ii, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3870 Columbia Ave, Osage Beach, MO 65065 Phone: 877-406-2662 | |
Dr. Robert C Nielsen, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3870 Columbia Ave, Osage Beach, MO 65065 Phone: 573-302-7490 Fax: 573-302-7895 | |
Dr. Amy B Thompson, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 54 Hospital Dr, Osage Beach, MO 65065 Phone: 573-302-2764 Fax: 573-302-2767 | |
Elizabeth Kaye Woodward, AGNP-C Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1029 Nichols Rd Ste 401, Osage Beach, MO 65065 Phone: 573-302-3111 | |
Mona H. Afrassiab, DO Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 54 Hospital Dr, Suite 201, Osage Beach, MO 65065 Phone: 573-302-2764 Fax: 573-302-2767 | |
Angela J Breckenridge, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 54 Hospital Dr, Osage Beach, MO 65065 Phone: 573-302-2764 Fax: 573-302-2767 |