| Ms Vickie Renee Pence, MS,PA | |
|
1101 Hospital Dr, Columbia, MO 65212-0001 | |
| (573) 882-1662 | |
| (573) 884-7318 |
| Full Name | Ms Vickie Renee Pence |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 29 Years |
| Location | 1101 Hospital Dr, 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 |
|---|---|---|---|
| 1336199363 | NPI | - | NPPES |
| 100509027 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA965 (Nevada) | Secondary |
| 363A00000X | Physician Assistant | 2010037370 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Of Md Shore Medical Center At Easton | Easton, MD | Hospital |
| Ascension St John Jane Phillips | Bartlesville, OK | Hospital |
| Citizens Memorial Hospital | Bolivar, MO | Hospital |
| Ascension St John Medical Center | Tulsa, OK | Hospital |
| Cox Medical Center Branson | Branson, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Emergency Medicine Associates P.a., P.c. | 8022914522 | 706 |
| Usacs Observation Medicine Services Of Oklahoma, Llc | 9931562956 | 203 |
| Citizens Memorial Hospital District | 2769574433 | 50 |
| Entity Name | Emergency Medicine Associates P.A., P.C. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134117393 PECOS PAC ID: 8022914522 Enrollment ID: O20040126000955 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Vickie Renee Pence, MS,PA Po Box 7687, Columbia, MO 65205-7687 Ph: (573) 882-2259 | Ms Vickie Renee Pence, MS,PA 1101 Hospital Dr, Columbia, MO 65212-0001 Ph: (573) 882-1662 |
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 |
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 |
Stephen L. Ross, P.A.-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 800 Hospital Dr, Columbia, MO 65201 Phone: 573-814-6000 Fax: 573-814-6314 |