| Dr Chukwudi Emmanuel Nwodo, MD | |
|
100 Hospital Dr, Lebanon, MO 65536-9210 | |
| (417) 533-6350 | |
| Not Available |
| Full Name | Dr Chukwudi Emmanuel Nwodo |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 27 Years |
| Location | 100 Hospital Dr, Lebanon, 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 |
|---|---|---|---|
| 1760672497 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2010019787 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Phelps County Regional Medical Center | Rolla, MO | Hospital |
| Mercy St Francis Hospital | Mountain view, MO | Hospital |
| Mercy Hospital - Cassville | Cassville, MO | Hospital |
| Mercy Hospital Springfield | Springfield, MO | Hospital |
| Mercy Hospital - Aurora | Aurora, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Phelps County Regional Medical Center | 2860391158 | 94 |
| Mercy St Francis Hospital | 7810806643 | 10 |
| Entity Name | Phelps County Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891766051 PECOS PAC ID: 2860391158 Enrollment ID: O20040106000405 |
| Entity Name | Mercy Hospital Cassville |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285676932 PECOS PAC ID: 8820999139 Enrollment ID: O20040120000164 |
| Entity Name | Mercy St Francis Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023053477 PECOS PAC ID: 7810806643 Enrollment ID: O20040120000229 |
| Entity Name | Ozarks Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831115641 PECOS PAC ID: 3870491863 Enrollment ID: O20040209001035 |
| Entity Name | Mercy Hospital Aurora |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467543090 PECOS PAC ID: 9436063211 Enrollment ID: O20040727000335 |
| Entity Name | Mercy St Francis Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1023053477 PECOS PAC ID: 7810806643 Enrollment ID: O20061104000139 |
| Entity Name | Mercy Hospital Aurora |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1467543090 PECOS PAC ID: 9436063211 Enrollment ID: O20061104000261 |
| Entity Name | Citizens Memorial Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558548818 PECOS PAC ID: 2769574433 Enrollment ID: O20070827000044 |
| Entity Name | Mercy Hospital Cassville |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1285676932 PECOS PAC ID: 8820999139 Enrollment ID: O20100118000033 |
| 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 Chukwudi Emmanuel Nwodo, MD 4428 E Ambrose Dr, Springfield, MO 65802-2446 Ph: (302) 465-5442 | Dr Chukwudi Emmanuel Nwodo, MD 100 Hospital Dr, Lebanon, MO 65536-9210 Ph: (417) 533-6350 |
Rosana Mendoza Lim-javate, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 341 Hospital Dr., Family Health Associates, P.c., Lebanon, MO 65536 Phone: 417-588-3918 | |
Dr. Sailaja Tummala, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 755 Cowan Drive, Lebanon, MO 65536 Phone: 417-532-2805 Fax: 417-532-2865 | |
Dr. John C. Tabb, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 331 Hospital Dr, Suite C, Lebanon, MO 65536 Phone: 417-533-6500 Fax: 417-533-6555 | |
Dr. Micheal J Durham, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 755 Cowan Dr, Lebanon, MO 65536 Phone: 417-532-2805 Fax: 417-532-2848 | |
Dr. Jennifer S. Powell, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 120 Hospital Dr, Suite 100, Lebanon, MO 65536 Phone: 417-533-6751 Fax: 417-533-6755 | |
Dr. Philip V. Mitchell, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 120 Hospital Dr, Suite 100, Lebanon, MO 65536 Phone: 417-533-6751 Fax: 417-533-6755 | |
Dr. Mary A Kurek, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 510 Highway 32, Lebanon, MO 65536 Phone: 417-269-2278 Fax: 417-269-2274 |