| Dr Charles Wayne Judy, MD | |
|
2505 Mission Dr, Jefferson City, MO 65109-9508 | |
| (573) 681-3100 | |
| (573) 998-8040 |
| Full Name | Dr Charles Wayne Judy |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 2505 Mission Dr, Jefferson City, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467465799 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | R3F57 (Missouri) | Primary |
| Entity Name | Southeast Missouri Hospital Physicians LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558311522 PECOS PAC ID: 9133024334 Enrollment ID: O20031201000775 |
| Entity Name | Southeastern Emergency Physicians of Memphis LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437105277 PECOS PAC ID: 5395643209 Enrollment ID: O20060711000434 |
| Entity Name | Capital Emergency Physicians, PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871626309 PECOS PAC ID: 8527104520 Enrollment ID: O20091006000015 |
| Entity Name | Camden Emergency Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003181637 PECOS PAC ID: 2961665369 Enrollment ID: O20120523000037 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Charles Wayne Judy, MD 2304 Green Meadow Dr, Jefferson City, MO 65101-2300 Ph: (573) 268-4464 | Dr Charles Wayne Judy, MD 2505 Mission Dr, Jefferson City, MO 65109-9508 Ph: (573) 681-3100 |
Edwin Dean Breshears, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3527 W Truman Blvd, Jefferson City, MO 65109 Phone: 573-882-8910 Fax: 573-884-1585 |
Charles Joseph Ludy, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1125 Madison St, Jefferson City, MO 65101 Phone: 573-632-5000 |
Dr. Todd Rockett, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 100 Saint Marys Plz, Jefferson City, MO 65101 Phone: 573-761-7000 |
Alan Robert Lemerande Jr., M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1125 Madison St, Jefferson City, MO 65101 Phone: 573-632-5000 |
Monika M Prost, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1241 W Stadium Blvd, Jefferson City, MO 65109 Phone: 573-635-5264 Fax: 573-636-9756 |
Dr. Saira Babar, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1241 W Stadium Blvd, Jefferson City, MO 65109 Phone: 573-635-5264 Fax: 573-634-7423 |
Dr. Mark R Katsaros, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3527 W Truman Blvd, Jefferson City, MO 65109 Phone: 573-882-8910 Fax: 573-884-1585 |