| Timothy Neil Reid, MD | |
|
1502 N Jefferson St, Carrollton, MO 64633-1948 | |
| (660) 542-1695 | |
| (660) 542-1944 |
| Full Name | Timothy Neil Reid |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 21 Years |
| Location | 1502 N Jefferson St, Carrollton, 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 |
|---|---|---|---|
| 1811090780 | NPI | - | NPPES |
| 209427608 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QS0010X | Family Medicine - Sports Medicine | 2005018441 (Missouri) | Secondary |
| 207Q00000X | Family Medicine | 2005018441 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saint Lukes Home Care | Kansas city, MO | Home health agency |
| Shirkey Hospice And Palliative Care | Richmond, MO | Hospice |
| Carroll County Memorial Hospital | Carrollton, MO | Hospital |
| Fitzgibbon Memorial Hospital | Marshall, MO | Hospital |
| Life Care Center Of Carrollton | Carrollton, MO | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Carroll County Memorial Hospital | 2860485638 | 65 |
| Jefferson Medical Group | 6800894379 | 10 |
| Entity Name | Carroll County Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528067113 PECOS PAC ID: 2860485638 Enrollment ID: O20040407000120 |
| Entity Name | Jefferson Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215030713 PECOS PAC ID: 6800894379 Enrollment ID: O20061116000198 |
| Entity Name | Hcc Of Carroll County Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649805763 PECOS PAC ID: 0042640633 Enrollment ID: O20200422002625 |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy Neil Reid, MD 1502 N Jefferson St, Carrollton, MO 64633-1948 Ph: (660) 542-1695 | Timothy Neil Reid, MD 1502 N Jefferson St, Carrollton, MO 64633-1948 Ph: (660) 542-1695 |
Dr. Pamela Lynn Ralls, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1502 N.jefferson Street, Ccmh Medical Plaza, Carrollton, MO 64633 Phone: 660-542-1695 Fax: 660-542-9880 | |
Dr. Marvin E Ross, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1502 N Jefferson St, Jefferson Medical Group /attn: Jean Steele, Carrollton, MO 64633 Phone: 660-542-9998 Fax: 660-542-9880 | |
Andrew Douglas Horine, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1502 N Jefferson St, Carrollton, MO 64633 Phone: 660-542-1695 Fax: 660-542-3902 | |
Richard Lee Smith, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1502 N Jefferson St, Carrollton, MO 64633 Phone: 660-542-9998 Fax: 660-542-9880 | |
Dr. Donald Leroy Kampschmidt, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 204 Johnson Cir, Carrollton, MO 64633 Phone: 660-542-3418 |