Jorge Arturo Carrasco Avila, MD | |
1101 W Liberty St, Farmington, MO 63640-1921 | |
(573) 705-1272 | |
Not Available |
Full Name | Jorge Arturo Carrasco Avila |
---|---|
Gender | Male |
Speciality | Hospitalist |
Location | 1101 W Liberty St, Farmington, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578172755 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 2023026703 (Missouri) | Secondary |
208M00000X | Hospitalist | 2023026703 (Missouri) | Primary |
Entity Name | Physician Groups Lc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285664268 PECOS PAC ID: 3072421254 Enrollment ID: O20040220001157 |
Mailing Address | Practice Location Address |
---|---|
Jorge Arturo Carrasco Avila, MD 1101 W Liberty St, Farmington, MO 63640-1921 Ph: (573) 705-1272 | Jorge Arturo Carrasco Avila, MD 1101 W Liberty St, Farmington, MO 63640-1921 Ph: (573) 705-1272 |
Paige Charboneau, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 1101 W Liberty St, Farmington, MO 63640 Phone: 573-705-1272 Fax: 573-705-1216 | |
Jamesy Charles Smith, D.O. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1103 W Liberty St, Farmington, MO 63640 Phone: 573-756-6751 Fax: 573-756-6807 | |
Aditya Shrikhande, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 1101 W Liberty St, Farmington, MO 63640 Phone: 573-705-1272 Fax: 573-705-1216 | |
Vladimir Melyakov, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1101 W Liberty St, Farmington, MO 63640 Phone: 573-760-1020 | |
Scott David Kirkley, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1106 Hazel Ln, Farmington, MO 63640 Phone: 573-756-6751 Fax: 573-760-8044 |