| John Quincy Elliott, DO | |
|
2480 Three Rivers Blvd, Poplar Bluff, MO 63901-2318 | |
| (573) 785-4600 | |
| (573) 785-4611 |
| Full Name | John Quincy Elliott |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 2480 Three Rivers Blvd, Poplar Bluff, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922090125 | NPI | - | NPPES |
| 200111230A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 02002722A (Indiana) | Secondary |
| 207Q00000X | Family Medicine | 2005039927 (Missouri) | Primary |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| John Quincy Elliott, DO 2480 Three Rivers Blvd, Poplar Bluff, MO 63901-2318 Ph: (573) 785-4600 | John Quincy Elliott, DO 2480 Three Rivers Blvd, Poplar Bluff, MO 63901-2318 Ph: (573) 785-4600 |
Robert Francis Dorsey, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3098 Oak Grove Rd, Poplar Bluff, MO 63901 Phone: 573-776-2600 Fax: 573-776-2763 | |
Dr. Donna J Allmon, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 686 Lester St, Poplar Bluff, MO 63902 Phone: 573-686-2411 Fax: 573-686-8452 | |
Silvia Pagoada Vallecillo, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3100 Oak Grove Rd, Poplar Bluff, MO 63901 Phone: 573-776-2000 | |
Homer E. Brooks, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1500 N Westwood Blvd, Poplar Bluff, MO 63901 Phone: 573-778-4761 | |
Maxine A Theriot, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3098 Oak Grove Rd, Poplar Bluff, MO 63901 Phone: 573-686-8199 Fax: 573-686-8398 | |
Bennie N Till, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 686 Lester St, Poplar Bluff, MO 63901 Phone: 573-686-2411 Fax: 573-686-8452 | |
William R Pierce, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1500 N Westwood Blvd, Poplar Bluff, MO 63901 Phone: 573-778-4729 Fax: 573-778-4731 |