Rachel Pruett, | |
1500 N Oakland Ave, Bolivar, MO 65613-3099 | |
(471) 326-6000 | |
Not Available |
Full Name | Rachel Pruett |
---|---|
Gender | Female |
Speciality | Surgery |
Location | 1500 N Oakland Ave, Bolivar, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710447461 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 2024023331 (Missouri) | Primary |
Entity Name | Citizens Memorial Healthcare |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568566131 PECOS PAC ID: 4183528169 Enrollment ID: O20040315001374 |
Mailing Address | Practice Location Address |
---|---|
Rachel Pruett, 633 E Lindon St, Bolivar, MO 65613-1231 Ph: (870) 715-9853 | Rachel Pruett, 1500 N Oakland Ave, Bolivar, MO 65613-3099 Ph: (471) 326-6000 |
Dr. Brian Douglas Biggers, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1500 N Oakland Ave, Bolivar, MO 65613 Phone: 417-326-6000 | |
Brent Allen Bartgis, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 1155 W Parkview, Suite 1f, Bolivar, MO 65613 Phone: 417-326-8700 Fax: 417-777-8173 | |
Dr. Walter Wayne Wolf Iii, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1155 W Parkview St, Suite 1f, Bolivar, MO 65613 Phone: 417-326-8700 Fax: 417-777-8173 | |
Dylan Parker Schwindt, MD Surgery Medicare: Medicare Enrolled Practice Location: 1155 W Parkview St Ste 1f, Bolivar, MO 65613 Phone: 417-326-8700 Fax: 417-777-8173 | |
Dr. Martin S. Tyson, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 1155 W Parkview St, Suite 1g, Bolivar, MO 65613 Phone: 417-326-8700 Fax: 417-328-6755 |