| Dr Martin S Tyson, DO | |
|
1155 W Parkview St, Suite 1g, Bolivar, MO 65613-8279 | |
| (417) 326-8700 | |
| (417) 328-6755 |
| Full Name | Dr Martin S Tyson |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 31 Years |
| Location | 1155 W Parkview St, Bolivar, Missouri |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851468987 | NPI | - | NPPES |
| 020049033 | Other | MO | RAILROAD MEDICARE |
| 431560263006 | Other | MO | TRICARE |
| 245315106 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 2001010358 (Missouri) | Primary |
| 2086S0127X | Surgery - Trauma Surgery | 2001010358 (Missouri) | Secondary |
| Entity Name | Usa Vein Clinics Of Connecticut Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245839869 PECOS PAC ID: 4082080338 Enrollment ID: O20221012001163 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Martin S Tyson, DO 1500 N Oakland Ave, Bolivar, MO 65613-3011 Ph: (417) 326-6000 | Dr Martin S Tyson, DO 1155 W Parkview St, Suite 1g, Bolivar, MO 65613-8279 Ph: (417) 326-8700 |
Dr. Brian Douglas Biggers, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1500 N Oakland Ave, Bolivar, MO 65613 Phone: 417-326-6000 | |
Brent Allen Bartgis, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 1155 W Parkview, Suite 1f, Bolivar, MO 65613 Phone: 417-326-8700 Fax: 417-777-8173 | |
Dr. Walter Wayne Wolf Iii, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1155 W Parkview St, Suite 1f, Bolivar, MO 65613 Phone: 417-326-8700 Fax: 417-777-8173 | |
Rachel Pruett, Surgery Medicare: Accepting Medicare Assignments Practice Location: 1500 N Oakland Ave, Bolivar, MO 65613 Phone: 471-326-6000 | |
Dylan Parker Schwindt, MD Surgery Medicare: Medicare Enrolled Practice Location: 1155 W Parkview St Ste 1f, Bolivar, MO 65613 Phone: 417-326-8700 Fax: 417-777-8173 |