| Addison Caraway, | |
|
1723 Broadway St Ste 310, Cape Girardeau, MO 63701-4556 | |
| (573) 519-4540 | |
| (573) 519-4541 |
| Full Name | Addison Caraway |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 1 Years |
| Location | 1723 Broadway St Ste 310, Cape Girardeau, 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 |
|---|---|---|---|
| 1306645734 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Hospital Southeast | Cape girardeau, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dexter Hospital, Llc | 6507834579 | 16 |
| Southeast Health Center Of Stoddard County Llc | 7315192515 | 39 |
| Southeast Missouri Hospital Physicians Llc | 9133024334 | 206 |
| Entity Name | Southeast Missouri Hospital Physicians LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558311522 PECOS PAC ID: 9133024334 Enrollment ID: O20031201000775 |
| Entity Name | Southeast Health Center of Stoddard County LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790828812 PECOS PAC ID: 7315192515 Enrollment ID: O20130605000128 |
| Mailing Address | Practice Location Address |
|---|---|
| Addison Caraway, Po Box 776084, Chicago, IL 60677-6084 Ph: Not Available | Addison Caraway, 1723 Broadway St Ste 310, Cape Girardeau, MO 63701-4556 Ph: (573) 519-4540 |
Julianne Marie Wheelock, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 211 Saint Francis Dr, Cape Girardeau, MO 63703 Phone: 573-331-5110 Fax: 573-335-4689 |
Maegan Thibodeaux, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 28 S Mount Auburn Rd, Cape Girardeau, MO 63703 Phone: 573-331-3350 |
Tyler Joshua Greenwood, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 211 Saint Francis Dr, Cape Girardeau, MO 63703 Phone: 573-331-5330 Fax: 573-331-5025 |
Sarah Eloise Oliver, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 150 S Mount Auburn Rd, Suite 342, Cape Girardeau, MO 63703 Phone: 573-331-5677 Fax: 573-331-5678 |
Mr. Jason Lynn Bowers, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1723 Broadway St Ste 410, Cape Girardeau, MO 63701 Phone: 573-332-7746 Fax: 573-339-9709 |
Rebecca Suzanne Roe Thomasson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 319 S Silver Springs Rd Ste C, Cape Girardeau, MO 63703 Phone: 573-334-4263 Fax: 573-334-3699 |
Fatima Judith Pais, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3250 Gordonville Rd, Suite 450, Cape Girardeau, MO 63703 Phone: 573-331-5761 Fax: 573-331-5762 |