| Eric Jaques Carbonell, MD | |
|
110 N Mill St, Festus, MO 63028-1816 | |
| (636) 931-2700 | |
| Not Available |
| Full Name | Eric Jaques Carbonell |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 110 N Mill St, Festus, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801805791 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ME111815 (Florida) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 2022033244 (Missouri) | Primary |
| Entity Name | Tbj Behavioral Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568633683 PECOS PAC ID: 4981789823 Enrollment ID: O20141120001176 |
| Mailing Address | Practice Location Address |
|---|---|
| Eric Jaques Carbonell, MD 1800 Community, Clinton, MO 64735-8804 Ph: (660) 885-8131 | Eric Jaques Carbonell, MD 110 N Mill St, Festus, MO 63028-1816 Ph: (636) 931-2700 |
Dr. Eric Neil-jensen Boyum, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1400 Us Highway 61, Festus, MO 63028 Phone: 314-251-6663 | |
Mr. Tariq Jawaid Alam, MD, FAAN Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1400 Us Highway 61, South, Suite 120, Festus, MO 63028 Phone: 636-933-8270 Fax: 636-933-1233 | |
Ronald L Beach, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 227 E Main St, Festus, MO 63028 Phone: 636-931-2700 Fax: 636-931-2139 | |
Dr. Laishang Peter Zhang, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1400 Us Highway 61, Festus, MO 63028 Phone: 314-251-6663 | |
Dr. Julia M Zevallos, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1400 Us Highway 61, Suite 150, Festus, MO 63028 Phone: 636-931-6090 Fax: 636-933-9509 | |
Aiying Angie Xiao, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1400 Us Highway 61, Suite H1341, Festus, MO 63028 Phone: 636-543-2230 Fax: 636-543-2231 | |
Michael P. Cooper, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1420 Us Highway 61, Festus, MO 63028 Phone: 636-543-2230 Fax: 636-543-2231 |