| Dr Gregory Stanley Zolkowski, DO | |
|
910 E San Martin St, Bolivar, MO 65613-2893 | |
| (417) 777-4749 | |
| (417) 777-8041 |
| Full Name | Dr Gregory Stanley Zolkowski |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 38 Years |
| Location | 910 E San Martin St, Bolivar, 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 |
|---|---|---|---|
| 1619959145 | NPI | - | NPPES |
| 1619959145 | Medicaid | MO | |
| 244710802 | Medicaid | MO | |
| P00786258 | Other | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | E-11776 (Arkansas) | Secondary |
| 207Q00000X | Family Medicine | E-11776 (Arkansas) | Secondary |
| 207Q00000X | Family Medicine | 101186 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Washington County Memorial Hospital | Potosi, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Potosi Emergency Group, Llc | 0648588541 | 10 |
| Entity Name | Hermann Area Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083749188 PECOS PAC ID: 5496669962 Enrollment ID: O20031118000740 |
| Entity Name | Potosi Emergency Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881075349 PECOS PAC ID: 0648588541 Enrollment ID: O20150925001293 |
| Entity Name | Sikeston Emergency Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427575299 PECOS PAC ID: 6305112814 Enrollment ID: O20171030000375 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gregory Stanley Zolkowski, DO Po Box 536, Bolivar, MO 65613-0536 Ph: (417) 777-4749 | Dr Gregory Stanley Zolkowski, DO 910 E San Martin St, Bolivar, MO 65613-2893 Ph: (417) 777-4749 |
Dr. Gbemisola Oluwakemi Johnson, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3817 S. Springfield Avenue, Bolivar, Mo 6561, Suite 140, Bolivar, MO 65613 Phone: 417-422-4769 | |
Kristopher J Kaufmann, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1125 N Butterfield Rd, Bolivar, MO 65613 Phone: 417-326-7676 Fax: 417-326-3939 | |
Mrs. Laura C Vance, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1240 N Butterfield Rd, Bolivar, MO 65613 Phone: 417-326-6021 Fax: 417-326-6347 | |
George J Heinz Iii, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1500 N. Oakland Ave., Bolivar, MO 65613 Phone: 417-328-6631 | |
April E Edgar, FNP-BC Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1500 N Oakland Ave, Bolivar, MO 65613 Phone: 417-328-6040 Fax: 417-328-1128 | |
Coral Molina, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 1500 N Oakland Ave, Bolivar, MO 65613 Phone: 417-326-6000 | |
Juris Peteris Simanis, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1155 W. Parkview Street, Suite 2d, Bolivar, MO 65613 Phone: 417-777-2663 Fax: 417-777-2666 |