| Dr Roderic Clayton Crist, MD | |
|
3095 Lexington Ave, Suite 200, Cape Girardeau, MO 63701-2602 | |
| (573) 339-0004 | |
| Not Available |
| Full Name | Dr Roderic Clayton Crist |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 3095 Lexington Ave, Cape Girardeau, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033180120 | NPI | - | NPPES |
| 820571426 | Other | MO | TRICARE |
| 080192016 | Other | MO | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | R2H52 (Missouri) | Primary |
| Entity Name | Community Counseling Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235244757 PECOS PAC ID: 9436142460 Enrollment ID: O20040415000678 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Roderic Clayton Crist, MD 3095 Lexington Ave, Suite 200, Cape Girardeau, MO 63701-2602 Ph: (573) 339-0004 | Dr Roderic Clayton Crist, MD 3095 Lexington Ave, Suite 200, Cape Girardeau, MO 63701-2602 Ph: (573) 339-0004 |
Lori A Moyers, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3129 Blattner Dr, Cape Girardeau, MO 63703 Phone: 573-335-0166 Fax: 573-335-7942 | |
John Van Earnhart, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 150 S Mount Auburn Rd, Suite 418, Cape Girardeau, MO 63703 Phone: 573-332-6000 | |
Kenneth Dean Phillips Jr., MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 8 Doctors Park, Cape Girardeau, MO 63703 Phone: 573-651-1333 Fax: 573-651-1324 | |
John V. Mackel, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 310 S Silver Springs Rd, Cape Girardeau, MO 63703 Phone: 573-334-9637 Fax: 573-335-0147 | |
Dr. Jehan Pascal Murugaser, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 817 S Mount Auburn Rd, Cape Girardeau, MO 63703 Phone: 573-519-4500 Fax: 573-519-4530 | |
Dr. James E Palen, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3129 Blattner Dr, Cape Girardeau, MO 63703 Phone: 573-335-0166 Fax: 573-335-7942 |