| Asefa K Gebre, PSYCH CAQ DMSC,PA-C | |
|
2929 S Grand Ave, Carthage, MO 64836-7803 | |
| (417) 423-1739 | |
| (417) 341-4313 |
| Full Name | Asefa K Gebre |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 11 Years |
| Location | 2929 S Grand Ave, Carthage, 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 |
|---|---|---|---|
| 1700245628 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 2016004134 (Missouri) | Primary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 2016004134 (Missouri) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ozarks Community Hospital Of Gravette | Gravette, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sgoh Acquisition Inc | 5092616276 | 95 |
| Unbound Horizon Outpatient Service Llc | 0749763043 | 2 |
| Entity Name | Sgoh Acquisition Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114924768 PECOS PAC ID: 5092616276 Enrollment ID: O20040205000647 |
| Entity Name | Bryan D. Barnes, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487981445 PECOS PAC ID: 4183752983 Enrollment ID: O20100517000101 |
| Entity Name | Unbound Horizon Outpatient Service LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003775792 PECOS PAC ID: 0749763043 Enrollment ID: O20260316000246 |
| Mailing Address | Practice Location Address |
|---|---|
| Asefa K Gebre, PSYCH CAQ DMSC,PA-C 2929 S Grand Ave, Carthage, MO 64836-7803 Ph: (417) 423-1739 | Asefa K Gebre, PSYCH CAQ DMSC,PA-C 2929 S Grand Ave, Carthage, MO 64836-7803 Ph: (417) 423-1739 |
Alexandra Marie Cutler, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3125 Dr Russell Smith Way, Carthage, MO 64836 Phone: 417-358-8121 |
Randi S Norman, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3125 Dr Russell Smith Way, Carthage, MO 64836 Phone: 417-359-1420 Fax: 417-359-1853 |
Annette Noel Mense, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3125 Dr Russell Smith Way, Carthage, MO 64836 Phone: 417-359-1849 Fax: 417-237-7259 |
Kimberly D Wagner, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3071 S Grand Ave, Carthage, MO 64836 Phone: 417-358-4811 Fax: 417-358-4781 |