Richard W Wadsworth, DO | |
114 E South Hills Dr, Maryville, MO 64468-2659 | |
(660) 562-4305 | |
(816) 562-4312 |
Full Name | Richard W Wadsworth |
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Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 114 E South Hills Dr, Maryville, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790279511 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 2020017751 (Missouri) | Secondary |
2084P0800X | Psychiatry & Neurology - Psychiatry | 34C.000448 (Ohio) | Primary |
Entity Name | Mosaic Medical Center - Maryville |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184189797 PECOS PAC ID: 3678813896 Enrollment ID: O20190405001537 |
Mailing Address | Practice Location Address |
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Richard W Wadsworth, DO 150 Cross Street, Akron, OH 44311-1026 Ph: (330) 996-9141 | Richard W Wadsworth, DO 114 E South Hills Dr, Maryville, MO 64468-2659 Ph: (660) 562-4305 |
Dr. Alejandro A. Amante, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 114 E South Hills Dr, Maryville, MO 64468 Phone: 660-562-4305 Fax: 660-562-4303 | |
Joshua Wayne Foster, DO Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 114 E South Hills Dr, Maryville, MO 64468 Phone: 660-562-4305 Fax: 660-562-4312 |