Diane Louise Light, DO | |
1125 Madison St, Jefferson City, MO 65101-5227 | |
(573) 632-5700 | |
(573) 632-5720 |
Full Name | Diane Louise Light |
---|---|
Gender | Female |
Speciality | General Surgery |
Experience | 32 Years |
Location | 1125 Madison St, Jefferson City, Missouri |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831185651 | NPI | - | NPPES |
020038004 | Other | MO | RAILROAD MEDICARE |
243392222 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 100575 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Capital Region Medical Center | Jefferson city, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Capital Region Medical Center | 4688573686 | 168 |
Entity Name | Capital Region Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477980837 PECOS PAC ID: 4688573686 Enrollment ID: O20070323000507 |
Mailing Address | Practice Location Address |
---|---|
Diane Louise Light, DO 1125 Madison St, Po Box 1107, Jefferson City, MO 65101-5227 Ph: (573) 632-5700 | Diane Louise Light, DO 1125 Madison St, Jefferson City, MO 65101-5227 Ph: (573) 632-5700 |
Carl Raymond Doerhoff, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1705 Christy Dr, Suite 215, Jefferson City, MO 65101 Phone: 573-659-5500 Fax: 573-659-5505 | |
Ani Gunyaporn Nathalang-pinon, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1125 Madison St, Jefferson City, MO 65101 Phone: 573-632-5700 Fax: 573-632-5715 | |
Dr. Caleb Steffen, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1241 W Stadium Blvd, Jefferson City, MO 65109 Phone: 573-635-5264 Fax: 573-634-7423 | |
Dr. Jonathan M. Roberts, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1241 W Stadium Blvd, Jefferson City, MO 65109 Phone: 573-556-7722 Fax: 573-635-1527 | |
Dr. Byron David Smith, D.O. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1125 Madison St, Jefferson City, MO 65101 Phone: 573-632-5700 | |
Dr. Benjamin Smith Gaddy Ii, DO Surgery Medicare: Not Enrolled in Medicare Practice Location: 3702 W Truman Blvd, Suite 104, Jefferson City, MO 65109 Phone: 573-635-5315 Fax: 573-635-5512 | |
Dr. Alan Roy Doerhoff, M D Surgery Medicare: Not Enrolled in Medicare Practice Location: 4606 Shepherd Hills Rd, Jefferson City, MO 65101 Phone: 573-230-5444 |