| Dr Mark L Pfautsch, DO | |
|
70 Doctors Park, Cape Girardeau, MO 63703-4928 | |
| (573) 334-6071 | |
| (573) 334-4739 |
| Full Name | Dr Mark L Pfautsch |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 46 Years |
| Location | 70 Doctors Park, Cape Girardeau, 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 |
|---|---|---|---|
| 1538175203 | NPI | - | NPPES |
| 187175 | Other | HEALTHLINK | |
| 063896 | Other | HEALTH ALLIANCE | |
| 242662005 | Medicaid | MO | |
| 185214 | Other | MO | 185214 |
| 143794001 | Medicaid | AR | |
| 430954380CAP | Other | MERCY HEALTH PLAN | |
| 036-077507 | Other | IL | IL BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | R8A13 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saint Francis Medical Center | Cape girardeau, MO | Hospital |
| Poplar Bluff Regional Medical Center | Poplar bluff, MO | Hospital |
| Southeasthealth | Cape girardeau, MO | Hospital |
| Southeasthealth Center Of Stoddard County | Dexter, MO | Hospital |
| Perry County Memorial Hospital | Perryville, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Hospital Perry | 1153777826 | 100 |
| Cape Radiology Group Pc | 9830093236 | 55 |
| Cape Radiology Group Pc | 9830093236 | 55 |
| Cape Radiology Group Pc | 9830093236 | 55 |
| Entity Name | Cape Radiology Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477506392 PECOS PAC ID: 9830093236 Enrollment ID: O20031126000174 |
| Entity Name | Boone Physician Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760893259 PECOS PAC ID: 6507090644 Enrollment ID: O20131003000535 |
| Entity Name | Mercy Hospital Perry |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063117158 PECOS PAC ID: 1153777826 Enrollment ID: O20231101001515 |
| Entity Name | Mercy Hospital Perry |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1063117158 PECOS PAC ID: 1153777826 Enrollment ID: O20231106001433 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mark L Pfautsch, DO 70 Doctors Park, Cape Girardeau, MO 63703-4928 Ph: (573) 334-6071 | Dr Mark L Pfautsch, DO 70 Doctors Park, Cape Girardeau, MO 63703-4928 Ph: (573) 334-6071 |
Karen B Willens, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 70 Doctors Park, Cape Girardeau, MO 63703 Phone: 573-335-6671 | |
Jeffrey William Boss, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 70 Doctors Park, Cape Girardeau, MO 63703 Phone: 573-334-6071 Fax: 573-334-4739 | |
Dr. Lance C. Faler, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 70 Doctors Park, Cape Girardeau, MO 63703 Phone: 573-334-6071 | |
Dr. Justin Ray Hodge, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 70 Doctor's Park, Cape Girardeau, MO 63703 Phone: 573-334-6071 Fax: 573-334-4739 | |
Abel Assefa Belay, M.D. Radiology Medicare: May Accept Medicare Assignments Practice Location: 70 Doctors Park, Cape Girardeau, MO 63703 Phone: 573-334-6071 | |
Yuan Yuan Xie, Radiology Medicare: Accepting Medicare Assignments Practice Location: 70 Doctors Park, Cape Girardeau, MO 63703 Phone: 573-334-6071 Fax: 573-334-4739 | |
Dr. George A. Pjura, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 70 Doctors Park, Cape Girardeau, MO 63703 Phone: 573-334-6071 Fax: 573-334-4739 |