| Macy Faye Manier, DO | |
|
1012 N Main St, Sikeston, MO 63801-5044 | |
| (573) 471-0330 | |
| (573) 471-0461 |
| Full Name | Macy Faye Manier |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 1012 N Main St, Sikeston, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215518014 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 2024018583 (Missouri) | Primary |
| Entity Name | Saint Francis Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356304489 PECOS PAC ID: 9931007929 Enrollment ID: O20040107000140 |
| Mailing Address | Practice Location Address |
|---|---|
| Macy Faye Manier, DO Po Box 801143, Kansas City, MO 64180-1143 Ph: (573) 331-5583 | Macy Faye Manier, DO 1012 N Main St, Sikeston, MO 63801-5044 Ph: (573) 471-0330 |
Dr. Kevin J. Blanton, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1012 N Main St, Sikeston, MO 63801 Phone: 573-431-0330 Fax: 573-471-0461 | |
Dr. Andrew B. Boldrey, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1012 N Main St, Sikeston, MO 63801 Phone: 573-431-0330 Fax: 573-471-0461 | |
Dr. David A. Lawrence, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1012 N Main St, Sikeston, MO 63801 Phone: 573-471-0330 Fax: 573-471-0461 |