| Dr Travis Tyler Hawks, MD | |
|
1307 S Main St, Lockwood, MO 65682-8327 | |
| (417) 232-4560 | |
| Not Available |
| Full Name | Dr Travis Tyler Hawks |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 20 Years |
| Location | 1307 S Main St, Lockwood, 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 |
|---|---|---|---|
| 1700053444 | NPI | - | NPPES |
| PENDING | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 060849 (Georgia) | Secondary |
| 207Q00000X | Family Medicine | 2014005002 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Hospital - Aurora | Aurora, MO | Hospital |
| Mercy Hospital - Cassville | Cassville, MO | Hospital |
| Mercy Hospital Springfield | Springfield, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mullock Health Care Llc | 4587091541 | 2 |
| Mercy Hospital Cassville | 8820999139 | 6 |
| Mercy Hospital Aurora | 9436063211 | 5 |
| 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 |
| Entity Name | Mercy Hospital Cassville |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285676932 PECOS PAC ID: 8820999139 Enrollment ID: O20040120000164 |
| Entity Name | Mercy Hospital Aurora |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467543090 PECOS PAC ID: 9436063211 Enrollment ID: O20040727000335 |
| Entity Name | Mercy Hospital Lebanon |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447284898 PECOS PAC ID: 7214829019 Enrollment ID: O20040907000806 |
| Entity Name | Mullock Health Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881224707 PECOS PAC ID: 4587091541 Enrollment ID: O20200304000180 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Travis Tyler Hawks, MD Po Box 505164, Saint Louis, MO 63150-5164 Ph: (417) 820-2000 | Dr Travis Tyler Hawks, MD 1307 S Main St, Lockwood, MO 65682-8327 Ph: (417) 232-4560 |
Dr. Beverly A. Holmes, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1307 S Main St, Route 3, Box 25, Lockwood, MO 65682 Phone: 417-232-4560 Fax: 417-232-4611 | |
Angie J Whitesell, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1307 Main Street, Lockwood, MO 65682 Phone: 417-232-4560 Fax: 417-232-4611 |