| Marija Tonkovic-capin, MD | |
|
1600 E Evergreen St, Cameron, MO 64429-2400 | |
| (816) 649-3208 | |
| (816) 649-3204 |
| Full Name | Marija Tonkovic-capin |
|---|---|
| Gender | Female |
| Speciality | Dermatology |
| Experience | 30 Years |
| Location | 1600 E Evergreen St, Cameron, Missouri |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275731010 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 2011006615 (Missouri) | Secondary |
| 193200000X | Multi-specialty | 2011006615 (Missouri) | Primary |
| 193200000X | Multi-specialty | 94-06648 (Kansas) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cameron Regional Medical Center | Cameron, MO | Hospital |
| Golden Valley Memorial Hospital | Clinton, MO | Hospital |
| Entity Name | Cameron Regional Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811905375 PECOS PAC ID: 5092622001 Enrollment ID: O20040113000619 |
| Entity Name | Cass Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477535326 PECOS PAC ID: 7517853781 Enrollment ID: O20040225000028 |
| Entity Name | Golden Valley Memorial Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003873266 PECOS PAC ID: 4688561814 Enrollment ID: O20040407001299 |
| Mailing Address | Practice Location Address |
|---|---|
| Marija Tonkovic-capin, MD 1600 E Evergreen St, Cameron, MO 64429-2400 Ph: (816) 649-3208 | Marija Tonkovic-capin, MD 1600 E Evergreen St, Cameron, MO 64429-2400 Ph: (816) 649-3208 |