Pulcherie Guissou Ada, MD | |
404 N Keene St, Columbia, MO 65201-6626 | |
(573) 882-4438 | |
Not Available |
Full Name | Pulcherie Guissou Ada |
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Gender | Female |
Speciality | Hospitalist |
Location | 404 N Keene St, Columbia, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265039218 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 2023049015 (Missouri) | Secondary |
208000000X | Pediatrics | 2023049015 (Missouri) | Secondary |
208M00000X | Hospitalist | 01092542A (Indiana) | Primary |
Entity Name | Deaconess Hospital Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427097443 PECOS PAC ID: 9032021431 Enrollment ID: O20040115000129 |
Mailing Address | Practice Location Address |
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Pulcherie Guissou Ada, MD 400 N Keene St, Columbia, MO 65201-6626 Ph: (573) 882-4438 | Pulcherie Guissou Ada, MD 404 N Keene St, Columbia, MO 65201-6626 Ph: (573) 882-4438 |
Jason Shawn Ogden, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 800 Hospital Dr, Columbia, MO 65201 Phone: 573-814-6000 | |
Dr. Peter James Nilsson, DO Hospitalist Medicare: Medicare Enrolled Practice Location: One Hospital Dr, Columbia, MO 65212 Phone: 573-884-9066 Fax: 573-884-3037 | |
Ethan Scott Anderson, DO Hospitalist Medicare: Medicare Enrolled Practice Location: One Hospital Dr, Columbia, MO 65212 Phone: 573-884-9066 Fax: 573-884-3037 | |
Mr. Christopher Thomas Boyer, D.O. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: One Hospital Dr, Columbia, MO 65212 Phone: 573-884-9066 Fax: 573-884-3037 | |
Prathik Kolluru, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1600 E Broadway, Columbia, MO 65201 Phone: 573-815-8000 Fax: 573-815-8040 | |
Dr. Christopher Reid Mandler, DO Hospitalist Medicare: Medicare Enrolled Practice Location: 1 Hospital Dr, Columbia, MO 65212 Phone: 573-882-0808 | |
Dr. Monika Kulasekaran, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1 Hospital Dr, Columbia, MO 65212 Phone: 573-884-7561 |