Yasuo Ishida, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Sullivan, Missouri. His current practice location is
102 Progress Pkwy # A, Sullivan, Missouri. You can reach out to his office (for appointments etc.) via phone at
(573) 468-6011.
Yasuo Ishida is licensed to practice in Missouri (license number 33207) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1811973944.
Physician's Profile
Full Name | Yasuo Ishida |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 102 Progress Pkwy # A, Sullivan, Missouri |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Yasuo Ishida attended and graduated from in
NPI Data:
- NPI Number: 1811973944
- Provider Enumeration Date: 12/20/2005
- Last Update Date: 08/29/2012
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Yasuo Ishida such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1811973944 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207V00000X | Obstetrics & Gynecology | 33207 (Missouri) | Primary |
207Q00000X | Family Medicine | 33207 (Missouri) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Yasuo Ishida is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Yasuo Ishida, MD 6744 Clayton Rd, Saint Louis, MO 63117-1637 Ph: (314) 645-6100 | Yasuo Ishida, MD 102 Progress Pkwy # A, Sullivan, MO 63080-2359 Ph: (573) 468-6011 |
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