| Dr Conrad S Balcer, DO | |
|
1241 W Stadium Blvd, Jefferson City, MO 65109-6023 | |
| (573) 635-5264 | |
| (573) 761-4611 |
| Full Name | Dr Conrad S Balcer |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Cardiovascular Disease |
| Location | 1241 W Stadium Blvd, 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 |
|---|---|---|---|
| 1033199740 | NPI | - | NPPES |
| 000010688 | Other | MO | MCR GROUP |
| 260021839 | Other | MEDICARE RAILROAD | |
| 153505 | Other | HEALTHLINK | |
| 243024726 | Medicaid | MO | |
| CP9089 | Other | MO | RAILROAD GROUP |
| 112014 | Other | MO | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | R3H14 (Missouri) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | R3H14 (Missouri) | Primary |
| Entity Name | Cole Physician Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144578659 PECOS PAC ID: 0648420810 Enrollment ID: O20121024000296 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Conrad S Balcer, DO Po Box 104240, Jefferson City, MO 65110-4240 Ph: (573) 556-5191 | Dr Conrad S Balcer, DO 1241 W Stadium Blvd, Jefferson City, MO 65109-6023 Ph: (573) 635-5264 |
Vineela Kasireddy, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1432 Southwest Blvd, Jefferson City, MO 65109 Phone: 573-632-4800 | |
Dr. Thomas W. Schneider, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1241 W Stadium Blvd, Jefferson City, MO 65109 Phone: 573-635-5264 Fax: 573-761-4351 | |
Rolando Daniel Breier, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1241 W Stadium Blvd, Jefferson City, MO 65109 Phone: 573-893-6404 Fax: 573-893-6505 | |
Dr. Hemal Yogesh Patel, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 1125 Madison St, Jefferson City, MO 65101 Phone: 573-632-5000 Fax: 573-634-2033 | |
Chad Zeglis, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 2505 Mission Dr, Jefferson City, MO 65109 Phone: 573-681-3396 Fax: 573-681-3617 | |
Austin Blake King, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 2505 Mission Dr, Jefferson City, MO 65109 Phone: 573-681-3000 |