| Dwayne Nathan Damba, DO | |
|
1212 Weber Rd, Farmington, MO 63640-3325 | |
| (573) 701-7215 | |
| (573) 701-7117 |
| Full Name | Dwayne Nathan Damba |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 29 Years |
| Location | 1212 Weber Rd, Farmington, 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 |
|---|---|---|---|
| 1194777193 | NPI | - | NPPES |
| 244893913 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 113439 (Missouri) | Secondary |
| 207Q00000X | Family Medicine | 113439 (Missouri) | Secondary |
| 207P00000X | Emergency Medicine | 81130 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Parkland Health Center | Farmington, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southeastern Emergency Physicians Of Memphis Llc | 5395643209 | 92 |
| Entity Name | Southeastern Emergency Physicians of Memphis LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437105277 PECOS PAC ID: 5395643209 Enrollment ID: O20060711000434 |
| Mailing Address | Practice Location Address |
|---|---|
| Dwayne Nathan Damba, DO 16 Mahogany Run, Farmington, MO 63640-7785 Ph: (573) 366-1077 | Dwayne Nathan Damba, DO 1212 Weber Rd, Farmington, MO 63640-3325 Ph: (573) 701-7215 |
Kelly L Hartel, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1101 W. Liberty, Parkland Health Center, Farmington, MO 63640 Phone: 573-760-8475 Fax: 573-760-8484 |
Dr. Dana R Day, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1010 W Columbia St, Farmington, MO 63640 Phone: 573-218-6792 |
Landon Shea, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1101 W Liberty St, Farmington, MO 63640 Phone: 573-705-1272 |
Dr. John Stephen Hunt, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1101 E. Liberty St., Farmington, MO 63640 Phone: 573-760-8475 Fax: 573-760-8475 |
Mark A Hassen, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1212 Weber Rd, Farmington, MO 63640 Phone: 573-701-7215 Fax: 573-701-7117 |