| Dr Edwin Roeder, MD | |
|
1210 N Kentucky Ave, West Plains, MO 65775 | |
| (417) 256-1745 | |
| (417) 256-1745 |
| Full Name | Dr Edwin Roeder |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 34 Years |
| Location | 1210 N Kentucky Ave, West Plains, 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 |
|---|---|---|---|
| 1003812645 | NPI | - | NPPES |
| P00061886 | Other | RR MEDICARE | |
| 244688917 | Medicaid | MO | |
| 1003812645 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 112519 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baxter Regional Medical Center | Mountain home, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Baxter County Regional Hospital Inc | 0042389264 | 90 |
| Baxter County Regional Hospital Inc | 0042389264 | 90 |
| 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 | Baxter County Regional Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720515737 PECOS PAC ID: 0042389264 Enrollment ID: O20200510000002 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Edwin Roeder, MD 2828 N National Ave, Springfield, MO 65803-4306 Ph: (417) 837-4003 | Dr Edwin Roeder, MD 1210 N Kentucky Ave, West Plains, MO 65775 Ph: (417) 256-1745 |
Dr. Troy Henry Caron, DO Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1100 N Kentucky Ave, West Plains, MO 65775 Phone: 417-256-9111 | |
Dr. James L Rushford, DO Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1210 N Kentucky Ave, West Plains, MO 65775 Phone: 417-256-1745 Fax: 417-256-1746 | |
David Milton Denenny, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1609 Porter Wagoner Blvd, West Plains, MO 65775 Phone: 417-256-1745 Fax: 417-256-1746 |