Dr Samuel Livaudois Simpson, MD | |
1513 Union Ave, Suite 2300, Moberly, MO 65270-9407 | |
(660) 263-8309 | |
(660) 263-1948 |
Full Name | Dr Samuel Livaudois Simpson |
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Gender | Male |
Speciality | Pediatrics |
Location | 1513 Union Ave, Moberly, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255338349 | NPI | - | NPPES |
207268004 | Medicaid | MO | |
04329316 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 20478 (Mississippi) | Primary |
Entity Name | State Of Mississippi - University Of Mississippi Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154317527 PECOS PAC ID: 1850293036 Enrollment ID: O20090414000575 |
Entity Name | Memorial Hospital At Gulfport |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215546635 PECOS PAC ID: 2466524012 Enrollment ID: O20090515000396 |
Mailing Address | Practice Location Address |
---|---|
Dr Samuel Livaudois Simpson, MD 2500 North State Street, Jmm Suite 2525, Jackson, MS 39216-3921 Ph: (601) 815-9528 | Dr Samuel Livaudois Simpson, MD 1513 Union Ave, Suite 2300, Moberly, MO 65270-9407 Ph: (660) 263-8309 |
Hilton Ngo, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1501 Union Ave, Suite A, Moberly, MO 65270 Phone: 660-269-9095 Fax: 660-269-0054 | |
Dr. John Vernon Wilson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1501 Union Ave, Suite A, Moberly, MO 65270 Phone: 660-263-9095 Fax: 660-263-0054 |