| Mr Tommy R Dotson, DO | |
|
904 Wollard Blvd, Richmond, MO 64085-2229 | |
| (816) 470-5432 | |
| (816) 470-7343 |
| Full Name | Mr Tommy R Dotson |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 904 Wollard Blvd, Richmond, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710959994 | NPI | - | NPPES |
| MOR1E52 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | R1E52 (Missouri) | Primary |
| Entity Name | Ray County Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245220052 PECOS PAC ID: 4688560634 Enrollment ID: O20040225001164 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Tommy R Dotson, DO 32162 Fishing River Rd, Lawson, MO 64062-9643 Ph: (816) 630-0452 | Mr Tommy R Dotson, DO 904 Wollard Blvd, Richmond, MO 64085-2229 Ph: (816) 470-5432 |
Anne Marie Becker Hall, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 904 Wollard Blvd, Richmond, MO 64085 Phone: 816-470-5432 | |
Lei Guan, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 904 Wollard Blvd, Ray County Memorial Hospital, Richmond, MO 64085 Phone: 816-470-5432 Fax: 816-470-8382 | |
Glen Georger, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 904 Wollard Blvd, Richmond, MO 64085 Phone: 816-470-5432 | |
Reuel M. Gregory, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 902 Wollard Blvd, Richmond, MO 64085 Phone: 816-776-2201 Fax: 816-480-4515 |