| Dr Kyle Noskoviak, MD | |
|
1000 E Primrose St Ste 550, Springfield, MO 65807-5180 | |
| (417) 269-4647 | |
| Not Available |
| Full Name | Dr Kyle Noskoviak |
|---|---|
| Gender | Male |
| Speciality | Pathology |
| Experience | 22 Years |
| Location | 1000 E Primrose St Ste 550, Springfield, 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 |
|---|---|---|---|
| 1598933491 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 2009023903 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Luke's Regional Medical Center | Boise, ID | Hospital |
| St Luke's Nampa Medical Center | Nampa, ID | Hospital |
| St Luke's Mccall | Mccall, ID | Hospital |
| St Lukes Magic Valley Medical Center | Twin falls, ID | Hospital |
| St Luke's Wood River Medical Center | Ketchum, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Boise Pathology Group P.a. | 7113943291 | 10 |
| Entity Name | Boise Pathology Group P.a. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063466225 PECOS PAC ID: 7113943291 Enrollment ID: O20051018000831 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kyle Noskoviak, MD 4743 E Sugarmaple Dr, Springfield, MO 65809-2439 Ph: (619) 850-6450 | Dr Kyle Noskoviak, MD 1000 E Primrose St Ste 550, Springfield, MO 65807-5180 Ph: (417) 269-4647 |
James Mason Shelley Jr., M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 1000 E Primrose St Ste 550, Springfield, MO 65807 Phone: 417-269-4647 Fax: 417-269-8078 | |
Mary Kay Vaske, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 1235 E Cherokee St, Pathology, Springfield, MO 65804 Phone: 417-820-6850 Fax: 417-820-7790 | |
Dr. Steven E. Collum, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2961 Fax: 417-820-7790 | |
Ms. Cassie Lee Booth, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2961 | |
Jason Singh, Pathology Medicare: Accepting Medicare Assignments Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2961 | |
Geoffrey Glenn Herndon, DO Pathology Medicare: Accepting Medicare Assignments Practice Location: 1000 E Primrose St Ste 550, Springfield, MO 65807 Phone: 417-269-4646 | |
Jon D Lorenzino, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 607 W Battlefield St, Springfield, MO 65807 Phone: 417-869-2000 Fax: 417-881-1850 |