| Dr Sherry L Phippen-gesualdi, MD | |
|
1333 S Sam Houston Blvd Ste A, Houston, MO 65483-2046 | |
| (417) 967-1252 | |
| (417) 967-0417 |
| Full Name | Dr Sherry L Phippen-gesualdi |
|---|---|
| Gender | Female |
| Speciality | General Surgery |
| Experience | 36 Years |
| Location | 1333 S Sam Houston Blvd Ste A, Houston, Missouri |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336298918 | NPI | - | NPPES |
| 205982101 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 2002021119 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Hospital Lebanon | Lebanon, MO | Hospital |
| Phelps County Regional Medical Center | Rolla, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| 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 | Mercy Clinic Springfield Communities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972771657 PECOS PAC ID: 7416865845 Enrollment ID: O20031218000354 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Sherry L Phippen-gesualdi, MD 1333 S Sam Houston Blvd Ste A, Houston, MO 65483-2046 Ph: (417) 967-1252 | Dr Sherry L Phippen-gesualdi, MD 1333 S Sam Houston Blvd Ste A, Houston, MO 65483-2046 Ph: (417) 967-1252 |
Dr. Thomas R. Stubbs, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1337 S Sam Houston Blvd, Suite 300, Houston, MO 65483 Phone: 417-967-5435 Fax: 417-967-5503 | |
Jason Matthew Loden, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 1333 S Sam Houston Blvd Ste C, Houston, MO 65483 Phone: 417-967-1252 Fax: 417-967-0417 | |
Dr. Hollis Tidmore, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1422 S Sam Houston Blvd, Houston, MO 65483 Phone: 417-967-1252 Fax: 417-967-0417 | |
Dr. John David Harrington, MD Surgery Medicare: Medicare Enrolled Practice Location: 6731 Highway Au, Houston, MO 65483 Phone: 417-321-0064 |