| Dr Lyle Arthur Clark, MD | |
|
141 Communication Drive, Hannibal, MO 63401 | |
| (573) 795-7342 | |
| (573) 248-3080 |
| Full Name | Dr Lyle Arthur Clark |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 141 Communication Drive, Hannibal, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477572097 | NPI | - | NPPES |
| 208444604 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | R8E55 (Missouri) | Primary |
| Entity Name | Mark Twain Association For Mental Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700933363 PECOS PAC ID: 9436376969 Enrollment ID: O20140807000426 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lyle Arthur Clark, MD 900 E La Harpe St, Kirksville, MO 63501-4520 Ph: (660) 665-1962 | Dr Lyle Arthur Clark, MD 141 Communication Drive, Hannibal, MO 63401 Ph: (573) 795-7342 |
Dr. Katarzyna Derlukiewicz, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 235 Progress Rd, Hannibal, MO 63401 Phone: 573-777-8300 | |
John Flo, Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 6500 Hospital Dr, Hannibal, MO 63401 Phone: 573-629-3503 Fax: 573-629-3515 | |
Joseph L Spalding, DO Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 3145 Highway 61 Ste A, Mental Health, Hannibal, MO 63401 Phone: 573-629-3370 Fax: 573-406-5750 | |
Dr. Claudia A Kachigian, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 6000 Hospital Drive, Hannibal, MO 63401 Phone: 573-248-5227 | |
Geoffrey Matthew Westhoff, CNP Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 141 Communication Dr, Hannibal, MO 63401 Phone: 573-603-1460 Fax: 573-603-1462 | |
Dr. Brett D Hosley, D.O. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 6500 Hospital Dr, Hannibal, MO 63401 Phone: 573-629-3527 Fax: 573-629-3514 | |
Manoher Bearelly, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 141 Communication Dr, Hannibal, MO 63401 Phone: 573-603-1460 Fax: 573-603-1462 |