Dr Larry D Deffenbaugh, DO | |
3114 Medical Park Dr, Carthage, MO 64836-1211 | |
(620) 783-2430 | |
Not Available |
Full Name | Dr Larry D Deffenbaugh |
---|---|
Gender | Male |
Speciality | Gastroenterology |
Experience | 50 Years |
Location | 3114 Medical Park Dr, Carthage, 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 |
---|---|---|---|
1447290622 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | R6321 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mercy Hospital Carthage | Carthage, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mercy Clinic Joplin Llc | 0547300196 | 247 |
Entity Name | Mercy Clinic Joplin Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215264817 PECOS PAC ID: 0547300196 Enrollment ID: O20091218000092 |
Entity Name | Larry Deffenbaugh Do Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760705925 PECOS PAC ID: 5294870580 Enrollment ID: O20100311000501 |
Mailing Address | Practice Location Address |
---|---|
Dr Larry D Deffenbaugh, DO 3114 Medical Park Dr, Carthage, MO 64836-1211 Ph: (620) 783-2430 | Dr Larry D Deffenbaugh, DO 3114 Medical Park Dr, Carthage, MO 64836-1211 Ph: (620) 783-2430 |
Johnny L Venter, DO Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 3125 Dr Russell Smith Way, Carthage, MO 64836 Phone: 417-358-8121 | |
Anne E. Winkler, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 3125 Dr Russell Smith Way, Carthage, MO 64836 Phone: 417-359-2675 Fax: 417-359-2679 |