| Jonathon M Bird, MD | |
|
255 Boderman, Bloomsdale, MO 63627-9099 | |
| (573) 483-9492 | |
| Not Available |
| Full Name | Jonathon M Bird |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 43 Years |
| Location | 255 Boderman, Bloomsdale, 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 |
|---|---|---|---|
| 1568457463 | NPI | - | NPPES |
| 202450854 | Medicaid | MO | |
| 196690 | Other | BLUE CROSS BLUE SHIELD | |
| 202450847 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | R9D20 (Missouri) | Secondary |
| 207Q00000X | Family Medicine | R9D20 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Inspire Home Health Llc | Pilot knob, MO | Home health agency |
| Preferred Hospice Of Missouri | Dexter, MO | Hospice |
| Ste Genevieve County Memorial Hospital | Sainte genevieve, MO | Hospital |
| Parkland Health Center | Farmington, MO | Hospital |
| Perry County Memorial Hospital | Perryville, MO | Hospital |
| Southbrook-skilled Nursing By Americare | Farmington, MO | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ste Genevieve County Memorial Hospital | 3274432802 | 74 |
| Entity Name | Ste Genevieve County Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184658387 PECOS PAC ID: 3274432802 Enrollment ID: O20040102000645 |
| Entity Name | Ste Genevieve County Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073587655 PECOS PAC ID: 3274432802 Enrollment ID: O20040312000516 |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathon M Bird, MD 255 Boderman, Bloomsdale, MO 63627-9099 Ph: (573) 483-9492 | Jonathon M Bird, MD 255 Boderman, Bloomsdale, MO 63627-9099 Ph: (573) 483-9492 |