| Sellas Pecos Coble, DO | |
|
600 Blues Lake Pkwy, Rolla, MO 65401-8022 | |
| (573) 364-8822 | |
| (573) 202-2402 |
| Full Name | Sellas Pecos Coble |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 31 Years |
| Location | 600 Blues Lake Pkwy, Rolla, 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 |
|---|---|---|---|
| 1629097035 | NPI | - | NPPES |
| P00063568 | Other | MO | RAILROAD MEDICARE |
| 457663 | Other | MO | HEALTHLINK |
| 143206 | Other | MO | BLUE CROSS BLUE SHIELD OF |
| 110236209 | Other | MO | RAILROAD MEDICARE |
| 245304902 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 116667 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Phelps Health Homecare | Rolla, MO | Home health agency |
| Kindred At Home | Rolla, MO | Home health agency |
| Phelps Regional Homecare | Rolla, MO | Hospice |
| Phelps County Regional Medical Center | Rolla, MO | Hospital |
| Phelps Health | Rolla, MO | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pcrmc Medical Group Inc | 1557454063 | 99 |
| Phelps County Regional Medical Center | 2860391158 | 94 |
| Entity Name | Phelps County Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891766051 PECOS PAC ID: 2860391158 Enrollment ID: O20040106000405 |
| Entity Name | Pcrmc Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124237227 PECOS PAC ID: 1557454063 Enrollment ID: O20070829000437 |
| Mailing Address | Practice Location Address |
|---|---|
| Sellas Pecos Coble, DO 600 Blues Lake Pkwy, Rolla, MO 65401-8022 Ph: (573) 364-8822 | Sellas Pecos Coble, DO 600 Blues Lake Pkwy, Rolla, MO 65401-8022 Ph: (573) 364-8822 |
Dr. Donald L James, DO Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1050 W 10th St, Rolla, MO 65401 Phone: 573-364-7545 Fax: 573-368-3672 | |
Bohdan A Lebedowicz, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1050 W 10th St, Rolla, MO 65401 Phone: 573-364-9000 Fax: 573-202-2484 | |
Dr. James J Spadaro Jr., M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 1050 W 10th St, Rolla, MO 65401 Phone: 573-308-1301 Fax: 573-202-2480 | |
Mark Pajeau, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1060 W 10th St, Rolla, MO 65401 Phone: 855-406-3324 Fax: 573-458-8363 | |
John Robertson Carr, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 W 10th St, Rolla, MO 65401 Phone: 573-458-8899 | |
Dr. Dmitry Familtsev, M.D., PH.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1050 W 10th St, Rolla, MO 65401 Phone: 573-308-1301 Fax: 573-202-2480 | |
Ethan James Porter, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 W 10th St, Rolla, MO 65401 Phone: 573-364-9000 Fax: 573-426-2108 |