| Thelma Lillie Peery, DO | |
|
1125 Madison St, Jefferson City, MO 65101-5227 | |
| (573) 632-5000 | |
| (573) 632-5880 |
| Full Name | Thelma Lillie Peery |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Location | 1125 Madison St, Jefferson City, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871543330 | NPI | - | NPPES |
| 100137430C | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 3779 (Oklahoma) | Secondary |
| 207P00000X | Emergency Medicine | 2003004251 (Missouri) | Primary |
| Entity Name | St John Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336194406 PECOS PAC ID: 2567366495 Enrollment ID: O20031121000867 |
| Entity Name | Emergency Medicine Physicians Of Tulsa County Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003098773 PECOS PAC ID: 8628140225 Enrollment ID: O20080626000116 |
| Entity Name | Mercy Clinic Oklahoma Communities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386874550 PECOS PAC ID: 1153468921 Enrollment ID: O20091027000755 |
| Entity Name | Emergency Services Of Oklahoma Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215249891 PECOS PAC ID: 8123209012 Enrollment ID: O20110225000085 |
| Entity Name | South Central Emergency Services, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558663724 PECOS PAC ID: 8224212949 Enrollment ID: O20110405000201 |
| Mailing Address | Practice Location Address |
|---|---|
| Thelma Lillie Peery, DO 1923 S Utica Ave, Emergency Dept, Tulsa, OK 74104-6520 Ph: (918) 744-3528 | Thelma Lillie Peery, DO 1125 Madison St, Jefferson City, MO 65101-5227 Ph: (573) 632-5000 |
Charles Joseph Ludy, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1125 Madison St, Jefferson City, MO 65101 Phone: 573-632-5000 | |
Dr. Todd Rockett, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 100 Saint Marys Plz, Jefferson City, MO 65101 Phone: 573-761-7000 | |
Alan Robert Lemerande Jr., M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1125 Madison St, Jefferson City, MO 65101 Phone: 573-632-5000 | |
Monika M Prost, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1241 W Stadium Blvd, Jefferson City, MO 65109 Phone: 573-635-5264 Fax: 573-636-9756 | |
Dr. Mark R Katsaros, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3527 W Truman Blvd, Jefferson City, MO 65109 Phone: 573-882-8910 Fax: 573-884-1585 | |
Dr. James Patrick Newman Ii, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1014 Madison St, Jefferson City, MO 65101 Phone: 573-644-6999 Fax: 573-644-7880 | |
Dr. Jared Emery, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1125 Madison St, Jefferson City, MO 65101 Phone: 573-632-5013 |