Stephen J Bazzano, DO | |
111 E 7th St, Galena, KS 66739-1229 | |
(620) 783-1358 | |
(620) 783-5055 |
Full Name | Stephen J Bazzano |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 54 Years |
Location | 111 E 7th St, Galena, Kansas |
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 |
---|---|---|---|
1063423150 | NPI | - | NPPES |
100098210A | Medicaid | KS | |
240387613 | Medicaid | MO | |
080075003 | Other | KS | PALMETTO GBA RAILROAD MCR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 32305 (Missouri) | Secondary |
207Q00000X | Family Medicine | 14599 (Kansas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ascension At Home | Pittsburg, KS | Home health agency |
Mercy Specialty Hospital Southeast Kansas | Galena, KS | Hospital |
Mercy Hospital Joplin | Joplin, MO | Hospital |
Freeman Health System - Freeman West | Joplin, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mercy Clinic Joplin Llc | 0547300196 | 247 |
Entity Name | Mercy Clinic Joplin Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043547474 PECOS PAC ID: 0547300196 Enrollment ID: O20091214000066 |
Entity Name | Mercy Hospital Columbus |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619203452 PECOS PAC ID: 4880735919 Enrollment ID: O20100116000185 |
Mailing Address | Practice Location Address |
---|---|
Stephen J Bazzano, DO Po Box 277, 111 E 7th St, Galena, KS 66739 Ph: (620) 783-1358 | Stephen J Bazzano, DO 111 E 7th St, Galena, KS 66739-1229 Ph: (620) 783-1358 |
Christopher Leon D'silva, DO Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 198 Four States Dr Ste B, Galena, KS 66739 Phone: 620-783-1358 Fax: 620-783-5055 |