Paul William Humphrey, MD in Columbia, MO

Paul William Humphrey, MD is a medicare enrolled "Surgery - Vascular Surgery" physician in Columbia, Missouri. His current practice location is 3220 Bluff Creek Dr, Ste 100, Columbia, Missouri. You can reach out to his office (for appointments etc.) via phone at (573) 443-8773.

Paul William Humphrey is licensed to practice in Missouri (license number R8N86) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1528062338.

Contact Information

	Paul William Humphrey, MD
	3220 Bluff Creek Dr, Ste 100, Columbia, MO 65201-3525
	(573) 443-8773
	(573) 443-6843

Map and Direction

Physician's Profile

Full Name	Paul William Humphrey
Gender	Male
Speciality	Surgery - Vascular Surgery
Location	3220 Bluff Creek Dr, Columbia, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1528062338
Provider Enumeration Date: 06/09/2005
Last Update Date: 11/22/2021

Medicare PECOS Information:

PECOS PAC ID: 4183684301
Enrollment ID: I20041013000014

Medical Identifiers

Medical identifiers for Paul William Humphrey such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528062338	NPI	-	NPPES
28058	Other	MO	GHP
4343322	Other	MO	AETNA
18421	Other	MO	ANTHEM BLUECROSS BLUESHIE
431428562	Other	MO	GREAT WEST
342470	Other	MO	PHCS
223429	Other	MO	HEALTHLINK, INC
3476	Other	MO	HEALTHCARE USA
1284581	Other	MO	UNITED HEALTHCARE
203559109	Medicaid	MO
F37040	Other	MO	MERCY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	R8N86 (Missouri)	Secondary
2086S0129X	Surgery - Vascular Surgery	R8N86 (Missouri)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Paul William Humphrey is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Paul William Humphrey, MD 3220 Bluff Creek Dr, Suite 100, Columbia, MO 65201-3525 Ph: (573) 443-8773	Paul William Humphrey, MD 3220 Bluff Creek Dr, Ste 100, Columbia, MO 65201-3525 Ph: (573) 443-8773

Reviews and Comments

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Paul William Humphrey, MD - Medicare Surgery in Columbia, MO