| Dr Mark Lewis Vandewalker, MD | |
|
601 W Nifong Blvd, Suite 2b, Columbia, MO 65203-6804 | |
| (573) 446-7000 | |
| (573) 445-1000 |
| Full Name | Dr Mark Lewis Vandewalker |
|---|---|
| Gender | Male |
| Speciality | Allergy/immunology |
| Experience | 51 Years |
| Location | 601 W Nifong Blvd, Columbia, 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 |
|---|---|---|---|
| 1386833358 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207KA0200X | Allergy & Immunology - Allergy | R2F17 (Missouri) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Psf Pllc | 1557265543 | 96 |
| Entity Name | Psf Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881785947 PECOS PAC ID: 1557265543 Enrollment ID: O20220505002158 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mark Lewis Vandewalker, MD 601 W Nifong Blvd, Suite 2b, Columbia, MO 65203-6804 Ph: (573) 446-7000 | Dr Mark Lewis Vandewalker, MD 601 W Nifong Blvd, Suite 2b, Columbia, MO 65203-6804 Ph: (573) 446-7000 |
Laurie B Fowler, MD Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 1506 Chapel Hill Rd, Ste G, Columbia, MO 65203 Phone: 573-234-2600 Fax: 573-234-2622 | |
Dr. Stanley Raymond Horner, D.O. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 1020 Hitt St, Columbia, MO 65212 Phone: 573-882-6921 Fax: 573-882-1154 | |
Dr. William Edward Stricker, M.D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 601 W Nifong Blvd, Suite 2b, Columbia, MO 65203 Phone: 573-446-7000 Fax: 573-445-1000 |