| David W Oberkrom, MD | |
|
3700 W 10th St, Suite 100, Sedalia, MO 65301-2540 | |
| (660) 827-0015 | |
| (660) 827-7425 |
| Full Name | David W Oberkrom |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology |
| Location | 3700 W 10th St, Sedalia, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043217938 | NPI | - | NPPES |
| 203394127 | Medicaid | MO | |
| 23141020 | Other | MP | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 100576 (Missouri) | Primary |
| Entity Name | Bothwell Regional Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235102690 PECOS PAC ID: 6103714126 Enrollment ID: O20040310000246 |
| Entity Name | Mosaic Medical Center - Maryville |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184189797 PECOS PAC ID: 3678813896 Enrollment ID: O20190405001537 |
| Mailing Address | Practice Location Address |
|---|---|
| David W Oberkrom, MD 512 W Main St, P O Box 158, Cole Camp, MO 65325-0158 Ph: (660) 668-0851 | David W Oberkrom, MD 3700 W 10th St, Suite 100, Sedalia, MO 65301-2540 Ph: (660) 827-0015 |
Dr. Elmer H Vandyke, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 3131 Brianna Blvd, Sedalia, MO 65301 Phone: 660-826-1381 Fax: 660-827-3001 | |
William J Smith, M.D Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3700 S 10th St, Suite 1, Sedalia, MO 65301 Phone: 660-886-7800 Fax: 660-886-3346 |