| Gordon Reed Wouters, DO | |
|
Hwy 254 & Dallas St., Hermitage, MO 65668 | |
| (417) 745-2121 | |
| (417) 745-6141 |
| Full Name | Gordon Reed Wouters |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 30 Years |
| Location | Hwy 254 & Dallas St., Hermitage, 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 |
|---|---|---|---|
| 1851402010 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 114045 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Transitions Hospice Llc | Bolivar, MO | Hospice |
| Serenity Care Hospice Inc | Harrisonville, MO | Hospice |
| Cedar County Memorial Hospital | El dorado springs, MO | Hospital |
| Mercy Hospital Springfield | Springfield, MO | Hospital |
| Cox Medical Centers | Springfield, MO | Hospital |
| Citizens Memorial Hospital | Bolivar, MO | Hospital |
| Buffalo Prairie Center For Rehab And Healthcare | Buffalo, MO | Nursing home |
| 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 |
| Entity Name | Ozarks Resource Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639421050 PECOS PAC ID: 6002068723 Enrollment ID: O20130628000325 |
| Mailing Address | Practice Location Address |
|---|---|
| Gordon Reed Wouters, DO 1500 N Oakland, Bolivar, MO 65613 Ph: (417) 745-2121 | Gordon Reed Wouters, DO Hwy 254 & Dallas St., Hermitage, MO 65668 Ph: (417) 745-2121 |