| Dr Tristan Ross Peregrino Fowler, DO | |
|
1013 N Main St, Sikeston, MO 63801-5043 | |
| (573) 472-7535 | |
| (573) 472-7787 |
| Full Name | Dr Tristan Ross Peregrino Fowler |
|---|---|
| Gender | Male |
| Speciality | Obstetrics/gynecology |
| Experience | 9 Years |
| Location | 1013 N Main St, Sikeston, 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 |
|---|---|---|---|
| 1881044006 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 05-43441 (Kansas) | Primary |
| 207V00000X | Obstetrics & Gynecology | 5101022338 (Michigan) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Missouri Delta Medical Center | Sikeston, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Missouri Delta Medical Center | 1355252891 | 128 |
| Entity Name | Saint Lukes Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093263717 PECOS PAC ID: 3577476894 Enrollment ID: O20031111000818 |
| Entity Name | Missouri Delta Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508967860 PECOS PAC ID: 1355252891 Enrollment ID: O20040308001306 |
| Entity Name | Big Springs Medical Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225045321 PECOS PAC ID: 6709871007 Enrollment ID: O20040416000695 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Tristan Ross Peregrino Fowler, DO 1013 N Main St, Sikeston, MO 63801-5043 Ph: (573) 472-7535 | Dr Tristan Ross Peregrino Fowler, DO 1013 N Main St, Sikeston, MO 63801-5043 Ph: (573) 472-7535 |
Dr. Farrah Traquel Mcspadden, M.D. Obstetrics & Gynecology Medicare: May Accept Medicare Assignments Practice Location: 1013 N Main St, Sikeston, MO 63801 Phone: 573-472-7535 Fax: 573-472-7787 | |
Fallan Nichole Mayabb, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1013 N Main St, Sikeston, MO 63801 Phone: 573-472-7535 | |
Dr. David W Stroud, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1013 N Main St, Sikeston, MO 63801 Phone: 573-472-7535 Fax: 573-472-7787 | |
Dr. Jennifer A Nickell, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1013 N Main St, Sikeston, MO 63801 Phone: 573-472-7535 Fax: 573-472-7787 |