| Robert David Wissman, MD | |
|
1 Hospital Dr, Columbia, MO 65212-0001 | |
| (573) 882-2663 | |
| (573) 884-4608 |
| Full Name | Robert David Wissman |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 35 Years |
| Location | 1 Hospital Dr, Columbia, Missouri |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760412167 | NPI | - | NPPES |
| 2426726 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 35-08-3106 (Ohio) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 2019033514 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Of Missouri Health Care | Columbia, MO | Hospital |
| Ssm Health St Mary's Hospital Jefferson City | Jefferson city, MO | Hospital |
| Bothwell Regional Health Center | Sedalia, MO | Hospital |
| Boone Hospital Center | Columbia, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Curators Of The University Of Missouri | 4486759560 | 1035 |
| Entity Name | The Curators Of The University Of Missouri |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235126921 PECOS PAC ID: 4486759560 Enrollment ID: O20070418000290 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert David Wissman, MD 5400 Kennedy Ave, Cincinnati, OH 45213-2664 Ph: (513) 281-3400 | Robert David Wissman, MD 1 Hospital Dr, Columbia, MO 65212-0001 Ph: (573) 882-2663 |
Dr. Neal R Meyer, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 311 N Keene St, Columbia, MO 65201 Phone: 573-442-1788 Fax: 573-442-1789 | |
Dr. Joshua Morrell, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1 Hospital Dr # Dc10m292, Department Of Radiology, School Of Medicine, Columbia, MO 65212 Phone: 701-391-3685 | |
Dr. Ayesha Nasrullah, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: One Hospital Dr, Columbia, MO 65212 Phone: 573-884-7770 Fax: 573-882-9876 | |
Mustafa Al-sabbagh, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1 Hospital Dr, Columbia, MO 65212 Phone: 573-882-1026 Fax: 573-884-4487 | |
Dr. Mohamed Khalaf Mahmoud Abdelhakiem, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: One Hospital Dr, Columbia, MO 65212 Phone: 573-884-7770 Fax: 573-882-9879 | |
Alex Loiland Pederson, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: One Hospital Dr, Columbia, MO 65212 Phone: 573-884-4082 Fax: 573-884-6661 | |
Dr. Lauren Clough Pringle, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: One Hospital Dr, Columbia, MO 65212 Phone: 573-882-2663 Fax: 573-884-4608 |