| Dr Osamede Edokpolo, MD | |
|
620 E Monroe St, Mexico, MO 65265-2919 | |
| (573) 582-5000 | |
| Not Available |
| Full Name | Dr Osamede Edokpolo |
|---|---|
| Gender | Male |
| Speciality | Psychiatry |
| Experience | 25 Years |
| Location | 620 E Monroe St, Mexico, 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 |
|---|---|---|---|
| 1326334459 | NPI | - | NPPES |
| 431560263 | Other | MO | TRICARE |
| 1326334459 | Medicaid | MO | |
| P01222578 | Other | MO | RR MCR |
| 198983001 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 2013002773 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Hospital Springfield | Springfield, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mindsmattersmd Llc | 3971912932 | 2 |
| Citizens Memorial Healthcare | 4183528169 | 108 |
| Mercy Clinic Springfield Communities | 7416865845 | 989 |
| Entity Name | Mercy Clinic Springfield Communities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245277631 PECOS PAC ID: 7416865845 Enrollment ID: O20031104000060 |
| Entity Name | State Of Missouri |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164477873 PECOS PAC ID: 1456254226 Enrollment ID: O20040129000481 |
| Entity Name | Citizens Memorial Healthcare |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568566131 PECOS PAC ID: 4183528169 Enrollment ID: O20040315001374 |
| Entity Name | Mindsmattersmd Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356962799 PECOS PAC ID: 3971912932 Enrollment ID: O20210504002898 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Osamede Edokpolo, MD Po Box 2580, Springfield, MO 65801-2580 Ph: (417) 829-4620 | Dr Osamede Edokpolo, MD 620 E Monroe St, Mexico, MO 65265-2919 Ph: (573) 582-5000 |
Ahsan Syed, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 321 W Promenade St, Mexico, MO 65265 Phone: 573-582-1234 Fax: 573-582-1212 | |
Dr. Sarmistha Bhalla, M.D Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 321 W Promenade St, Mexico, MO 65265 Phone: 573-582-1234 Fax: 573-582-1212 | |
Zaki A Ajans, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 400 E Liberty St, Mexico, MO 65265 Phone: 573-582-1234 Fax: 573-582-1212 | |
Ahmed A Taranissi, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 340 Kelley Pkwy, Mexico, MO 65265 Phone: 573-582-1234 Fax: 573-582-1212 | |
Dr. Jennifer Elaine Brockman, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 321 W Promenade St, Mexico, MO 65265 Phone: 573-582-1234 Fax: 573-582-1212 | |
M Allison Felton, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 340 Kelley Pkwy, Mexico, MO 65265 Phone: 573-582-1234 |