| Michael J Stevenson, DO | |
|
686 Lester St, Poplar Bluff, MO 63901 | |
| (573) 686-2411 | |
| (573) 686-8452 |
| Full Name | Michael J Stevenson |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 686 Lester St, Poplar Bluff, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841279767 | NPI | - | NPPES |
| 245195409 | Medicaid | MO | |
| 142268003 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 110842 (Missouri) | Primary |
| Entity Name | Pemiscot County Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578668661 PECOS PAC ID: 8426024159 Enrollment ID: O20070326000204 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael J Stevenson, DO Po Box 220, Poplar Bluff, MO 63902 Ph: (573) 686-2411 | Michael J Stevenson, DO 686 Lester St, Poplar Bluff, MO 63901 Ph: (573) 686-2411 |
Robert Francis Dorsey, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3098 Oak Grove Rd, Poplar Bluff, MO 63901 Phone: 573-776-2600 Fax: 573-776-2763 | |
Dr. Donna J Allmon, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 686 Lester St, Poplar Bluff, MO 63902 Phone: 573-686-2411 Fax: 573-686-8452 | |
Silvia Pagoada Vallecillo, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3100 Oak Grove Rd, Poplar Bluff, MO 63901 Phone: 573-776-2000 | |
Homer E. Brooks, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1500 N Westwood Blvd, Poplar Bluff, MO 63901 Phone: 573-778-4761 | |
Maxine A Theriot, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3098 Oak Grove Rd, Poplar Bluff, MO 63901 Phone: 573-686-8199 Fax: 573-686-8398 | |
Bennie N Till, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 686 Lester St, Poplar Bluff, MO 63901 Phone: 573-686-2411 Fax: 573-686-8452 | |
William R Pierce, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1500 N Westwood Blvd, Poplar Bluff, MO 63901 Phone: 573-778-4729 Fax: 573-778-4731 |