| Mariah Stacy Gann, PA-C | |
|
525 N Keene St Ste 301, Columbia, MO 65201-8106 | |
| (573) 449-2141 | |
| (573) 556-1750 |
| Full Name | Mariah Stacy Gann |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 2 Years |
| Location | 525 N Keene St Ste 301, Columbia, 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 |
|---|---|---|---|
| 1851077408 | NPI | - | NPPES |
| Facility Name | Location | Facility Type |
|---|---|---|
| Boone Hospital Center | Columbia, MO | Hospital |
| University Of Missouri Health Care | Columbia, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Jefferson City Medical Group Pc | 1850371089 | 117 |
| Entity Name | Jefferson City Medical Group PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336189398 PECOS PAC ID: 1850371089 Enrollment ID: O20040908000924 |
| Mailing Address | Practice Location Address |
|---|---|
| Mariah Stacy Gann, PA-C 1241 W Stadium Blvd, Jefferson City, MO 65109-6023 Ph: Not Available | Mariah Stacy Gann, PA-C 525 N Keene St Ste 301, Columbia, MO 65201-8106 Ph: (573) 449-2141 |
Eljesa Hyseni, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1200 E Broadway, Columbia, MO 65215 Phone: 573-441-5107 |
Ms. Morgan L Lewis, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1 Hospital Dr, Columbia, MO 65212 Phone: 573-882-8091 |
Regan Said, Physician Assistant Medicare: Medicare Enrolled Practice Location: 1211 E Broadway, Columbia, MO 65201 Phone: 573-441-5107 |
Isaac Dodson, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1 S Keene St, Columbia, MO 65201 Phone: 573-443-2402 |
Hector Ulises Sandoval Barraza, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1211 E Broadway, Columbia, MO 65215 Phone: 573-441-5107 |
Mr. Albert John Umbach Iii, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1 Hospital Dr, Columbia, MO 65212 Phone: 573-882-8091 Fax: 573-884-1902 |
Ms. Stacie Rennie Avery, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 800 Hospital Dr, Columbia, MO 65201 Phone: 573-814-6000 |