| Ryan Willard Rogers, PA-C | |
|
1029 Nichols Rd Ste 201, Osage Beach, MO 65065-3008 | |
| (573) 302-7138 | |
| Not Available |
| Full Name | Ryan Willard Rogers |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 16 Years |
| Location | 1029 Nichols Rd Ste 201, Osage Beach, 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 |
|---|---|---|---|
| 1124325907 | NPI | - | NPPES |
| 220026034 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 2011003943 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lake Regional Health System | Osage beach, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lake Regional Health System | 9133026776 | 132 |
| Entity Name | Mercy Clinic Springfield Communities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972771657 PECOS PAC ID: 7416865845 Enrollment ID: O20031218000354 |
| Entity Name | Lake Regional Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053581454 PECOS PAC ID: 9133026776 Enrollment ID: O20070511000147 |
| Entity Name | Camden Emergency Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003181637 PECOS PAC ID: 2961665369 Enrollment ID: O20120523000037 |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan Willard Rogers, PA-C 54 Hospital Dr, Osage Beach, MO 65065-3050 Ph: (573) 348-8000 | Ryan Willard Rogers, PA-C 1029 Nichols Rd Ste 201, Osage Beach, MO 65065-3008 Ph: (573) 302-7138 |
Jacob Andrew White, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 54 Hospital Dr, Osage Beach, MO 65065 Phone: 660-888-2238 |
Michelle Therese Keeton, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 54 Hospital Dr, Osage Beach, MO 65065 Phone: 573-302-3999 Fax: 573-302-2751 |
Camden Schmitz, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1075 Nichols Rd, Osage Beach, MO 65065 Phone: 573-302-3990 |
Brandi Rene Nickels, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 54 Hospital Dr, Osage Beach, MO 65065 Phone: 573-348-8000 |
Trevor James Schuneman Sr., PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 54 Hospital Dr, Osage Beach, MO 65065 Phone: 573-302-2800 Fax: 573-348-8350 |
Tara Nicole Andersen, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 54 Hospital Dr Ste 201, Osage Beach, MO 65065 Phone: 573-302-2764 Fax: 573-302-2767 |
Kiley Neuman, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 54 Hospital Dr, Osage Beach, MO 65065 Phone: 573-348-8000 |