| Heidi C Calipjo, MD | |
|
1057 Medical Park Dr, Suite A, Osage Beach, MO 65065-3000 | |
| (573) 302-3100 | |
| (573) 348-8279 |
| Full Name | Heidi C Calipjo |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 22 Years |
| Location | 1057 Medical Park Dr, Osage Beach, Missouri |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720288236 | NPI | - | NPPES |
| P00867670 | Other | MO | RAIL ROAD MEDICARE |
| 135570025 | Other | MO | MEDICARE PTAN |
| 1720288236 | Medicaid | MO | |
| 2010024506 | Other | MO | MO LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 125-052442 (Illinois) | Secondary |
| 207Q00000X | Family Medicine | 2010024506 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Phoenix Home Care | Jefferson city, MO | Home health agency |
| Lake Regional Health System | Osage beach, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lake Regional Health System | 9133026776 | 114 |
| Entity Name | Lake Regional Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053581454 PECOS PAC ID: 9133026776 Enrollment ID: O20070511000147 |
| Mailing Address | Practice Location Address |
|---|---|
| Heidi C Calipjo, MD Po Box 1500, Osage Beach, MO 65065-1500 Ph: () - | Heidi C Calipjo, MD 1057 Medical Park Dr, Suite A, Osage Beach, MO 65065-3000 Ph: (573) 302-3100 |
Samuel Brayfield, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5816 Osage Beach Pkwy, Suite 108, Osage Beach, MO 65065 Phone: 573-636-3313 Fax: 573-636-5881 | |
Dr. John Carlyn Brand, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1057 Medical Park Dr, Osage Beach, MO 65065 Phone: 573-302-3100 Fax: 573-348-8279 | |
Dr. Holland Hoyt Haynie Iii, MD26719 Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3870 Columbia Ave, Osage Beach, MO 65065 Phone: 573-708-7600 | |
Dr. Gina Renee Carter, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 940 Executive Dr, Lake Cboc-va, Osage Beach, MO 65065 Phone: 573-302-7890 Fax: 573-302-7974 | |
Dr. Mark W. Shen, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1057 Medical Park Dr, Suite A, Osage Beach, MO 65065 Phone: 573-348-2745 Fax: 573-348-8279 | |
Mrs. Amy R Lockhert, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1057 Medical Park Dr, Osage Beach, MO 65065 Phone: 573-302-3100 | |
Dr. Randall C Barnes, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1057 Medical Park Dr, Suite A, Osage Beach, MO 65065 Phone: 573-302-3200 Fax: 573-302-3210 |