| Juan Gustavo Nix, MD | |
|
1500 N Oakland Ave, Bolivar, MO 65613-3011 | |
| (417) 326-6000 | |
| Not Available |
| Full Name | Juan Gustavo Nix |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 1500 N Oakland Ave, Bolivar, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508939661 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | MOR1G61 (Missouri) | Primary |
| Entity Name | Citizens Memorial Healthcare |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568566131 PECOS PAC ID: 4183528169 Enrollment ID: O20040315001374 |
| Entity Name | Citizens Memorial Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558548818 PECOS PAC ID: 2769574433 Enrollment ID: O20070827000044 |
| Mailing Address | Practice Location Address |
|---|---|
| Juan Gustavo Nix, MD 1500 N Oakland Ave, Bolivar, MO 65613-3011 Ph: (417) 326-6000 | Juan Gustavo Nix, MD 1500 N Oakland Ave, Bolivar, MO 65613-3011 Ph: (417) 326-6000 |
Chad David Law, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1500 N Oakland Ave, Bolivar, MO 65613 Phone: 417-326-6000 | |
Dr. Gregory Stanley Zolkowski, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 910 E San Martin St, Bolivar, MO 65613 Phone: 417-777-4749 Fax: 417-777-8041 | |
Jeffrey K Smieshek, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1500 N Oakland Ave, Bolivar, MO 65613 Phone: 417-326-6000 |