| Mackenzie Taychert, DO | |
|
1400 Us Highway 61, Crystal Cty, MO 63028-4108 | |
| (636) 933-5337 | |
| (636) 933-8090 |
| Full Name | Mackenzie Taychert |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 5 Years |
| Location | 1400 Us Highway 61, Crystal Cty, Missouri |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366010043 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 2024034555 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Boone Hospital Center | Columbia, MO | Hospital |
| Pershing Memorial Hospital | Brookfield, MO | Hospital |
| University Of Missouri Health Care | Columbia, MO | Hospital |
| Fitzgibbon Hospital | Marshall, MO | Hospital |
| Pershing Memorial Hospital | Brookfield, MO | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Boone Physician Services Llc | 6507090644 | 243 |
| Entity Name | Boone Physician Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760893259 PECOS PAC ID: 6507090644 Enrollment ID: O20131003000535 |
| Mailing Address | Practice Location Address |
|---|---|
| Mackenzie Taychert, DO 1400 Us Highway 61, Crystal Cty, MO 63028-4108 Ph: (636) 933-5337 | Mackenzie Taychert, DO 1400 Us Highway 61, Crystal Cty, MO 63028-4108 Ph: (636) 933-5337 |
Alexandra Bahar Khodadadi, MD, MSPH Internal Medicine Medicare: Medicare Enrolled Practice Location: 1400 Us Highway 61, Crystal Cty, MO 63028 Phone: 636-933-5337 |
Lorgis Ignacio Jimenez Perez, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1400 Us Highway 61, Crystal Cty, MO 63028 Phone: 636-933-5337 |
Dr. Saquib Anjum, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1400 Us Highway 61, Crystal Cty, MO 63028 Phone: 636-933-5337 Fax: 636-933-5337 |
Allison Friedhoff, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 1400 Us Highway 61, Crystal Cty, MO 63028 Phone: 636-933-5337 Fax: 636-933-8090 |
Biruk A Beyene, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1400 Us Highway 61, Crystal Cty, MO 63028 Phone: 636-933-5337 |