| Dr Richard J Mellitt, MD | |
|
1605 E Broadway Ste 210, Columbia, MO 65201-8023 | |
| (573) 815-4130 | |
| (573) 815-4135 |
| Full Name | Dr Richard J Mellitt |
|---|---|
| Gender | Male |
| Speciality | Cardiac Surgery |
| Experience | 37 Years |
| Location | 1605 E Broadway Ste 210, 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 |
|---|---|---|---|
| 1730171026 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 2000168805 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Boone Hospital Center | Columbia, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Boone Physician Services Llc | 6507090644 | 246 |
| Entity Name | Chas Physician Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629301163 PECOS PAC ID: 7810038064 Enrollment ID: O20100109000194 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Richard J Mellitt, MD 1605 E Broadway Ste 210, Columbia, MO 65201-8023 Ph: (573) 815-4130 | Dr Richard J Mellitt, MD 1605 E Broadway Ste 210, Columbia, MO 65201-8023 Ph: (573) 815-4130 |
Krithika Ramaprabhu, Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Medicare Enrolled Practice Location: 1 Hospital Dr, Columbia, MO 65212 Phone: 573-884-3278 Fax: 573-884-1351 | |
Joss D Fernandez, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 1605 E Broadway Ste 210, Columbia, MO 65201 Phone: 573-815-4130 Fax: 573-815-4135 | |
Normand Robert Caron, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Medicare Enrolled Practice Location: One Hospital Drive, Columbia, MO 65212 Phone: 573-882-6955 Fax: 573-884-0437 | |
Sebastian David Wiesemann, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 1 Hospital Dr, Mc 413, Columbia, MO 65212 Phone: 573-882-6956 | |
Andrew A Rich, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 800 Hospital Dr., Harry S. Truman Memorial Veterans Hospital, Columbia, MO 65201 Phone: 573-814-6565 Fax: 573-814-6331 |