Dr Mallikarjuna Bagewadi Ellur, MD, | |
1000 W 10th St, Rolla, MO 65401-2905 | |
(573) 458-8899 | |
Not Available |
Full Name | Dr Mallikarjuna Bagewadi Ellur |
---|---|
Gender | Male |
Speciality | Psychiatry |
Experience | 19 Years |
Location | 1000 W 10th St, Rolla, 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 |
---|---|---|---|
1790125615 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 2017006920 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Phelps County Regional Medical Center | Rolla, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Pcrmc Medical Group, Inc | 1557454063 | 93 |
Coastal Inpatient Physicians Llc | 4688671365 | 16 |
Entity Name | Phelps County Regional Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891766051 PECOS PAC ID: 2860391158 Enrollment ID: O20040106000405 |
Entity Name | Pcrmc Medical Group, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124237227 PECOS PAC ID: 1557454063 Enrollment ID: O20070829000437 |
Mailing Address | Practice Location Address |
---|---|
Dr Mallikarjuna Bagewadi Ellur, MD, 1050 W 10th St, Attn: Executive Director Of Physician Clinics, Rolla, MO 65401 Ph: (573) 364-9000 | Dr Mallikarjuna Bagewadi Ellur, MD, 1000 W 10th St, Rolla, MO 65401-2905 Ph: (573) 458-8899 |
Mignon M Makos, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1050 W 10th St, Rolla, MO 65401 Phone: 573-364-9000 Fax: 816-364-3894 | |
Dr. Sreekant Kodela, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1450 E 10th St, Rolla, MO 65401 Phone: 888-403-1071 | |
Richelle Nicole Brown, Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 600 Blues Lake Pkwy, Rolla, MO 65401 Phone: 573-364-2007 Fax: 573-202-2402 | |
Dr. Lirong Zhu, M.D., PH.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1605 Martin Springs Dr, Suite 360b, Rolla, MO 65401 Phone: 573-458-6380 Fax: 573-458-6464 | |
Dr. Shannon Liane Robinson, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 575b Blues Lake Pkwy, Rolla, MO 65401 Phone: 573-364-2007 Fax: 573-202-2402 | |
Dr. Michelle M Hill, DO Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 575b Blues Lake Pkwy, Rolla, MO 65401 Phone: 573-364-2007 Fax: 573-202-2455 | |
Dr. Sasan Moshirzadeh, M.D Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1050 W 10th St, Rolla, MO 65401 Phone: 573-364-9000 Fax: 573-202-2484 |