| Mr Dana H Duckworth, DO | |
|
1500 State St, Lexington, MO 64067-1107 | |
| (660) 259-2203 | |
| (660) 259-6819 |
| Full Name | Mr Dana H Duckworth |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 1500 State St, Lexington, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396730461 | NPI | - | NPPES |
| 241556539 | Medicaid | MO | |
| 2456383202 | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | DO R5B62 (Missouri) | Secondary |
| 207P00000X | Emergency Medicine | R5B62 (Missouri) | Primary |
| Entity Name | Midwest Division - Lrhc Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639362460 PECOS PAC ID: 0941119150 Enrollment ID: O20031105000738 |
| Entity Name | Bothwell Regional Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235102690 PECOS PAC ID: 6103714126 Enrollment ID: O20040310000246 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Dana H Duckworth, DO 406 E Orchard St, Odessa, MO 64076-1578 Ph: (816) 682-3887 | Mr Dana H Duckworth, DO 1500 State St, Lexington, MO 64067-1107 Ph: (660) 259-2203 |
Dr. Paul L Kramer, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1500 State Street, Lexington, MO 64067 Phone: 660-259-2203 Fax: 660-259-6813 | |
Charles R Whetstone, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1026 Main St, Lexington, MO 64067 Phone: 660-259-2216 Fax: 660-259-3942 |