| Dr Juan Gonzalez, MD | |
|
1701 Lacey St, Dept Pathology, Cape Girardeau, MO 63701-5230 | |
| (314) 362-5641 | |
| (314) 362-0369 |
| Full Name | Dr Juan Gonzalez |
|---|---|
| Gender | Male |
| Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
| Location | 1701 Lacey St, Cape Girardeau, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801826425 | NPI | - | NPPES |
| 202688800 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | R2F61 (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 | Washington University |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316987746 PECOS PAC ID: 9830008770 Enrollment ID: O20040406001038 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Juan Gonzalez, MD 660 S Euclid Ave, Cb 8118, Saint Louis, MO 63110-1010 Ph: (314) 362-5641 | Dr Juan Gonzalez, MD 1701 Lacey St, Dept Pathology, Cape Girardeau, MO 63701-5230 Ph: (314) 362-5641 |
Cameron R Dowlatshahi, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 211 Saint Francis Dr, Cape Girardeau, MO 63703 Phone: 573-331-5167 Fax: 573-331-5049 | |
Dr. William Stahr, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 211 Saint Francis Dr, Pathology Department, Cape Girardeau, MO 63703 Phone: 573-331-5242 | |
Kelly Hoene Joggerst, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 211 St Francis Dr, Cape Girardeau, MO 63703 Phone: 573-331-5242 | |
Dr. April Hendryx, D.O. Pathology Medicare: Accepting Medicare Assignments Practice Location: 211 Saint Francis Dr, Cape Girardeau, MO 63703 Phone: 573-331-3000 | |
Dr. Paul Cordes, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 1701 Lacey St, Pathology Department, Cape Girardeau, MO 63701 Phone: 573-651-5575 |