| Dr Justin Imhof, DO | |
|
100 Medical Dr, Hannibal, MO 63401-6877 | |
| (573) 231-3871 | |
| (573) 231-3707 |
| Full Name | Dr Justin Imhof |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Experience | 20 Years |
| Location | 100 Medical Dr, Hannibal, 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 |
|---|---|---|---|
| 1225066509 | NPI | - | NPPES |
| 1225066509 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207YX0905X | Otolaryngology - Otolaryngology/facial Plastic Surgery | 2011001466 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Blessing Hospital | Quincy, IL | Hospital |
| Hannibal Regional Hospital | Hannibal, MO | Hospital |
| St Louis University Hospital | Saint louis, MO | Hospital |
| Pike County Memorial Hospital | Louisiana, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Blessing Hospital | 3072422534 | 405 |
| Entity Name | Blessing Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114471737 PECOS PAC ID: 3072422534 Enrollment ID: O20171221000766 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Justin Imhof, DO 100 Medical Dr, Po Box 311, Hannibal, MO 63401-6877 Ph: (573) 231-3871 | Dr Justin Imhof, DO 100 Medical Dr, Hannibal, MO 63401-6877 Ph: (573) 231-3871 |
Dr. Kevin B Imhof, D.O. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 6500 Hospital Dr, Hannibal, MO 63401 Phone: 573-629-3301 Fax: 573-629-3336 | |
Heather A Curtis, D.O. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 6500 Hospital Dr, Hannibal, MO 63401 Phone: 573-629-3331 Fax: 573-629-3336 |