| Douglas Alan West, MD | |
|
3207 W Truman Blvd, Jefferson City, MO 65109-0578 | |
| (573) 636-5115 | |
| (573) 636-2818 |
| Full Name | Douglas Alan West |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 32 Years |
| Location | 3207 W Truman Blvd, Jefferson City, 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 |
|---|---|---|---|
| 1255352043 | NPI | - | NPPES |
| 20507900 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 105741 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ssm Health St Mary's Hospital Jefferson City | Jefferson city, MO | Hospital |
| University Of Missouri Health Care | Columbia, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Urology Care, Inc. | 4688630718 | 4 |
| Entity Name | Urology Care, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780723205 PECOS PAC ID: 4688630718 Enrollment ID: O20070703000252 |
| Mailing Address | Practice Location Address |
|---|---|
| Douglas Alan West, MD 3207 W Truman Blvd, Jefferson City, MO 65109-0578 Ph: (573) 636-5115 | Douglas Alan West, MD 3207 W Truman Blvd, Jefferson City, MO 65109-0578 Ph: (573) 636-5115 |
Eric Ivan Vogt, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 3207 W Truman Blvd, Jefferson City, MO 65109 Phone: 573-636-5115 | |
John Paul Koonce, MD Urology Medicare: Medicare Enrolled Practice Location: 3207 W Truman Blvd, Jefferson City, MO 65109 Phone: 573-636-5115 Fax: 573-636-2818 | |
Dr. Jerry Jeff Trulson, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 3207 W Truman Blvd, Jefferson City, MO 65109 Phone: 573-636-5115 Fax: 573-636-2818 | |
Michael Scott Severance, MD Urology Medicare: May Accept Medicare Assignments Practice Location: 3207 W Truman Blvd, Jefferson City, MO 65109 Phone: 573-636-5115 Fax: 573-636-2818 |