| Dr John Stewart Humphrey, MD | |
|
319 S Silver Springs Rd, Ste C, Cape Girardeau, MO 63703-6308 | |
| (573) 334-4263 | |
| (573) 334-3699 |
| Full Name | Dr John Stewart Humphrey |
|---|---|
| Gender | Male |
| Speciality | Plastic And Reconstructive Surgery |
| Experience | 25 Years |
| Location | 319 S Silver Springs Rd, Cape Girardeau, 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 |
|---|---|---|---|
| 1467496646 | NPI | - | NPPES |
| 507543601 | Medicaid | MO | |
| 43-1817986 | Other | COMP RESULTS WORKERS COMP | |
| 43-1817986 | Other | TRICARE/CHAMPUS/VA | |
| 1270930001 | Other | NORIDIAN/MEDICARE D-MERC | |
| 000000633050 | Other | MO | ANTHEM BLUE CROSS BLUE SHIELD |
| 43-1817986 | Other | CORVEL WORKERS COMP | |
| PENDING | Other | GREAT WEST | |
| 979387 | Other | HEALTHLINK | |
| P00792431 | Other | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208200000X | Plastic Surgery | A99381 (California) | Secondary |
| 208200000X | Plastic Surgery | ME95230 (Florida) | Secondary |
| 208200000X | Plastic Surgery | 2009 023 891 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Southeasthealth | Cape girardeau, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Heartland Plastic And Hand Surgery Llc | 3274565999 | 2 |
| Entity Name | Heartland Plastic & Hand Surgery Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053406710 PECOS PAC ID: 3274565999 Enrollment ID: O20050902000053 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John Stewart Humphrey, MD 319 S Silver Springs Rd, Ste C, Cape Girardeau, MO 63703-6308 Ph: (573) 334-4263 | Dr John Stewart Humphrey, MD 319 S Silver Springs Rd, Ste C, Cape Girardeau, MO 63703-6308 Ph: (573) 334-4263 |
David M Deisher, MD Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 319 S Silver Springs Rd, Ste C, Cape Girardeau, MO 63703 Phone: 573-334-4263 Fax: 573-334-3699 | |
Gregory A Tobin, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 300 S Mount Auburn Rd, Ste 100, Cape Girardeau, MO 63703 Phone: 573-651-4488 Fax: 573-651-4431 |