| Jason Matthew Loden, DO | |
|
1333 S Sam Houston Blvd Ste C, Houston, MO 65483-2046 | |
| (417) 967-1252 | |
| (417) 967-0417 |
| Full Name | Jason Matthew Loden |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 13 Years |
| Location | 1333 S Sam Houston Blvd Ste C, Houston, 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 |
|---|---|---|---|
| 1710327879 | NPI | - | NPPES |
| 152250019 | Other | MO | MEDICARE PART B |
| 200054452 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 2018007730 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saint Francis Medical Center | Cape girardeau, MO | Hospital |
| Southeasthealth | Cape girardeau, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cape Girardeau Surgical Clinic, Inc. | 3971569104 | 12 |
| Saint Francis Medical Center | 9931007929 | 408 |
| Entity Name | Saint Francis Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356304489 PECOS PAC ID: 9931007929 Enrollment ID: O20040107000140 |
| Entity Name | Cape Girardeau Surgical Clinic, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821045535 PECOS PAC ID: 3971569104 Enrollment ID: O20041208000988 |
| Entity Name | Poplar Bluff Hma Physician Management, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598710147 PECOS PAC ID: 5092769703 Enrollment ID: O20050307000013 |
| Entity Name | Texas County Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396785135 PECOS PAC ID: 9436041696 Enrollment ID: O20060323000624 |
| Entity Name | Texas County Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710926928 PECOS PAC ID: 9436041696 Enrollment ID: O20070404000060 |
| Entity Name | Mercy Hospital Perry |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063117158 PECOS PAC ID: 1153777826 Enrollment ID: O20231101001515 |
| Mailing Address | Practice Location Address |
|---|---|
| Jason Matthew Loden, DO 1333 S Sam Houston Blvd Ste C, Houston, MO 65483-2046 Ph: (417) 967-1252 | Jason Matthew Loden, DO 1333 S Sam Houston Blvd Ste C, Houston, MO 65483-2046 Ph: (417) 967-1252 |
Dr. Thomas R. Stubbs, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1337 S Sam Houston Blvd, Suite 300, Houston, MO 65483 Phone: 417-967-5435 Fax: 417-967-5503 | |
Dr. Sherry L. Phippen-gesualdi, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1333 S Sam Houston Blvd Ste A, Houston, MO 65483 Phone: 417-967-1252 Fax: 417-967-0417 | |
Dr. Hollis Tidmore, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1422 S Sam Houston Blvd, Houston, MO 65483 Phone: 417-967-1252 Fax: 417-967-0417 | |
Dr. John David Harrington, MD Surgery Medicare: Medicare Enrolled Practice Location: 6731 Highway Au, Houston, MO 65483 Phone: 417-321-0064 |