| Dr Bishan Chakravarty, MD | |
|
703 Maple Valley Drive, Farmington, MO 63640 | |
| (573) 701-0470 | |
| (573) 701-0473 |
| Full Name | Dr Bishan Chakravarty |
|---|---|
| Gender | Male |
| Speciality | Nephrology |
| Experience | 22 Years |
| Location | 703 Maple Valley Drive, Farmington, 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 |
|---|---|---|---|
| 1790030195 | NPI | - | NPPES |
| 200052190 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 2018009371 (Missouri) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | 2018009371 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Avera Mckennan Hospital & University Health Center | Sioux falls, SD | Hospital |
| Hegg Memorial Health Center | Rock valley, IA | Hospital |
| Parkland Health Center | Farmington, MO | Hospital |
| Avera Gregory Hospital | Gregory, SD | Hospital |
| Sioux Center Health | Sioux center, IA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Avera Mckennan | 0345157103 | 927 |
| Avera Mckennan | 0345157103 | 927 |
| Entity Name | Avera Mckennan |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699009944 PECOS PAC ID: 0345157103 Enrollment ID: O20031110000117 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Bishan Chakravarty, MD 703 Maple Valley Drive, Farmington, MO 63640 Ph: (573) 701-0470 | Dr Bishan Chakravarty, MD 703 Maple Valley Drive, Farmington, MO 63640 Ph: (573) 701-0470 |
Mark M Chin, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1103 W Liberty St, Farmington, MO 63640 Phone: 573-760-8488 Fax: 573-756-3793 | |
Amresh Kumar, MD Nephrology Medicare: Medicare Enrolled Practice Location: 1103 W Liberty St, Farmington, MO 63640 Phone: 573-701-7227 | |
Evan Grant Williams, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1101 W Liberty St, Farmington, MO 63640 Phone: 573-756-6751 | |
Dr. Sunil Gupta Chand, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 1031 E Karsch Blvd, Farmington, MO 63640 Phone: 573-756-7880 | |
John A Hartman, DO Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1103 Weber Rd, Ste 101, Farmington, MO 63640 Phone: 573-756-6438 Fax: 573-756-6439 | |
Susan K Cox, MD Nephrology Medicare: Medicare Enrolled Practice Location: 1580 West Columbia St., Farmington, MO 63640 Phone: 573-760-1365 | |
John David Griffin, Nephrology Medicare: Accepting Medicare Assignments Practice Location: 12 Annie Dr, Farmington, MO 63640 Phone: 573-915-4880 |