| Serese Yvonne Smith-haxton, MD | |
|
1125 Madison St, Jefferson City, MO 65101-5227 | |
| (573) 632-5510 | |
| (573) 632-5810 |
| Full Name | Serese Yvonne Smith-haxton |
|---|---|
| Gender | Female |
| Speciality | Obstetrics/gynecology |
| Experience | 35 Years |
| Location | 1125 Madison St, Jefferson City, Missouri |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518048735 | NPI | - | NPPES |
| 1518048735 | Medicaid | MO | |
| 100447000D | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | KS 04-31151 (Kansas) | Secondary |
| 207V00000X | Obstetrics & Gynecology | 2009035426 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Of Missouri Health Care | Columbia, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Curators Of The University Of Missouri | 4486759560 | 1035 |
| Entity Name | Community Health Ctr Of Central Missouri |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538213244 PECOS PAC ID: 2062456015 Enrollment ID: O20050610000717 |
| Entity Name | Capital Region Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477980837 PECOS PAC ID: 4688573686 Enrollment ID: O20070323000507 |
| 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 |
|---|---|
| Serese Yvonne Smith-haxton, MD 1125 Madison St, Jefferson City, MO 65101-5227 Ph: (573) 632-5510 | Serese Yvonne Smith-haxton, MD 1125 Madison St, Jefferson City, MO 65101-5227 Ph: (573) 632-5510 |
Amanda Taube Rodemann, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1241 W Stadium Blvd, Suite 102, Jefferson City, MO 65109 Phone: 573-636-5248 Fax: 573-636-9390 | |
Dr. William H. Marshall, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1241 W Stadium Blvd, Jefferson City, MO 65109 Phone: 573-635-5264 Fax: 573-556-5757 | |
Jodi A Berendzen, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1241 W Stadium Blvd, Suite 102, Jefferson City, MO 65109 Phone: 573-636-5248 Fax: 573-636-9390 | |
Teri A Deffenbaugh, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1125 Madison St, Ob Gyn Associates, Jefferson City, MO 65101 Phone: 573-632-5510 Fax: 573-632-5810 | |
Brandi Nichols, MD Obstetrics & Gynecology Medicare: May Accept Medicare Assignments Practice Location: 1241 W Stadium Blvd, Jefferson City, MO 65109 Phone: 573-636-5248 Fax: 573-636-9390 | |
Dana Madsen Calcutt, DO Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1014 Madison St, Ob/gyn Associates, Jefferson City, MO 65101 Phone: 573-632-5510 Fax: 573-632-5810 |