| Mrs Gladys Grace Tiwonge Kamanga-sollo, MD | |
|
1723 Broadway St, Suite 410, Cape Girardeau, MO 63701-4566 | |
| (573) 332-7746 | |
| (573) 339-9709 |
| Full Name | Mrs Gladys Grace Tiwonge Kamanga-sollo |
|---|---|
| Gender | Female |
| Speciality | Physical Medicine And Rehabilitation |
| Experience | 14 Years |
| Location | 1723 Broadway St, Cape Girardeau, Missouri |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003115536 | NPI | - | NPPES |
| 2015011346 | Other | MO | MO STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 2015011346 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Southeasthealth | Cape girardeau, MO | Hospital |
| Perry County Memorial Hospital | Perryville, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Regional Brain And Spine Llc | 0749237808 | 11 |
| Health Facilities Rehab Services Inc | 3476679226 | 107 |
| Entity Name | Regional Brain & Spine Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992753289 PECOS PAC ID: 0749237808 Enrollment ID: O20050401000170 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Gladys Grace Tiwonge Kamanga-sollo, MD 1723 Broadway St, Suite 410, Cape Girardeau, MO 63701-4566 Ph: (573) 332-7746 | Mrs Gladys Grace Tiwonge Kamanga-sollo, MD 1723 Broadway St, Suite 410, Cape Girardeau, MO 63701-4566 Ph: (573) 332-7746 |
Dr. Jimmy Dayland Bowen, M.D. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 48 Doctors Park, Cape Girardeau, MO 63703 Phone: 573-388-3045 Fax: 573-335-8424 | |
Tracee Michelle Shepard, P.T.A. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 3120 Independence St, Cape Girardeau, MO 63703 Phone: 573-651-8242 Fax: 573-651-8246 | |
Dr. Paul Joseph Guidos, M.D. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 2615 Saddle Ridge Ln, Cape Girardeau, MO 63701 Phone: 573-335-4487 | |
Im S Hong, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 211 Saint Francis Dr, Cape Girardeau, MO 63703 Phone: 573-331-5329 Fax: 573-331-5085 | |
Charissa Lea Griggs, Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 3047 William St, Cape Girardeau, MO 63703 Phone: 573-339-5989 | |
Matthew W Karshner, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 2126 Independence St, Cape Girardeau, MO 63703 Phone: 573-986-4404 Fax: 573-986-4439 |