| Dr Robert M Cavagnol, MD | |
|
1965 S Fremont Ave, Suite 100, Springfield, MO 65804-2201 | |
| (417) 820-3800 | |
| (417) 820-3810 |
| Full Name | Dr Robert M Cavagnol |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 1965 S Fremont Ave, Springfield, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043273188 | NPI | - | NPPES |
| 168867001 | Medicaid | AR | |
| 431560263 | Other | MO | TRICARE WEST |
| P00709670 | Other | RAILROAD MEDICARE | |
| 1043273188 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 35086247 (Ohio) | Secondary |
| 208600000X | Surgery | 2007026645 (Missouri) | Primary |
| Entity Name | St Lukes Clinic-treasure Valley Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326336058 PECOS PAC ID: 4981878402 Enrollment ID: O20111119000045 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Robert M Cavagnol, MD 1965 S Fremont Ave, Suite 100, Springfield, MO 65804-2201 Ph: (417) 820-3800 | Dr Robert M Cavagnol, MD 1965 S Fremont Ave, Suite 100, Springfield, MO 65804-2201 Ph: (417) 820-3800 |
Matthew E Simpson, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 761 S Hickory Ter, Springfield, MO 65809 Phone: 417-894-6536 | |
Zachary C Schmittling, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3800 S National Ave, Springfield, MO 65807 Phone: 417-875-3700 Fax: 417-875-3737 | |
Timothy D Woods, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1001 E Primrose St, Springfield, MO 65807 Phone: 417-875-3000 Fax: 417-875-3245 | |
Charles W Dunn, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1222 S Delaware Ave, Springfield, MO 65804 Phone: 417-860-7743 Fax: 417-269-7567 | |
James Gibson, MD Surgery Medicare: Medicare Enrolled Practice Location: 3015 S Ridge Dr, Springfield, MO 65809 Phone: 417-887-2342 | |
Dr. Christopher A. Edwards, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1965 S Fremont Ave, Suite 100, Springfield, MO 65804 Phone: 417-820-3800 Fax: 417-820-3810 |