Richard William Wadsworth, DO | |
114 E South Hills Dr, Maryville, MO 64468-2659 | |
(660) 562-2525 | |
(816) 562-4301 |
Full Name | Richard William Wadsworth |
---|---|
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) | Primary |
Entity Name | Mosaic Medical Center - Maryville |
---|---|
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 |
---|---|
Richard William Wadsworth, DO 5301 Faraon St Ste 120, Saint Joseph, MO 64506-3512 Ph: (816) 271-1066 | Richard William Wadsworth, DO 114 E South Hills Dr, Maryville, MO 64468-2659 Ph: (660) 562-2525 |
Christine Anna Carrejo, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 114 E South Hills Dr, Maryville, MO 64468 Phone: 660-562-2525 Fax: 666-056-2430 | |
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 |