| Gastroenterology Associates Of Southeast Mo, Pc | |
|
1429 N Mount Auburn Rd Cape Girardeau MO 63701-2171 | |
| (573) 334-8870 | |
| (573) 334-7340 |
| Full Name | Gastroenterology Associates Of Southeast Mo, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1429 N Mount Auburn Rd, Cape Girardeau, Missouri |
| Authorized Official Name and Position | Robyn Crocetti (ADMINISTRATOR) |
| Authorized Official Contact | 5733348870 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gastroenterology Associates Of Southeast Mo, Pc 1429 N Mount Auburn Rd Cape Girardeau MO 63701-2171 Ph: (573) 334-8870 | Gastroenterology Associates Of Southeast Mo, Pc 1429 N Mount Auburn Rd Cape Girardeau MO 63701-2171 Ph: (573) 334-8870 |
| NPI Number | 1720035439 |
|---|---|
| Provider Enumeration Date | 05/28/2006 |
| Last Update Date | 06/09/2008 |
| Medicare PECOS PAC ID | 6002883873 |
|---|---|
| Medicare Enrollment ID | O20040911000273 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720035439 | NPI | - | NPPES |
| 502633506 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (Missouri) | Primary |
| Provider Name | Zahid Kaleem |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1063476208 PECOS PAC ID: 4284659483 Enrollment ID: I20051006000734 |
| Provider Name | Timothy Edwards |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1356388557 PECOS PAC ID: 5597776658 Enrollment ID: I20060606000059 |
| Provider Name | Horace Lee Schneider |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1437129509 PECOS PAC ID: 6709957335 Enrollment ID: I20100907000520 |
| Provider Name | Matthew James Coleman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1922078088 PECOS PAC ID: 5890866420 Enrollment ID: I20100907000557 |
| Provider Name | Dean Alan Edwards |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1487624557 PECOS PAC ID: 7618048240 Enrollment ID: I20100924001330 |
| Provider Name | Gustavo A Alvarez Paiva |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1154447993 PECOS PAC ID: 2365515723 Enrollment ID: I20170502000863 |
Johns Healthcare Services Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2001 Independence St Ste A, Cape Girardeau, MO 63703 Phone: 573-304-3143 Fax: 573-334-0493 | |
Cross Trails Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2430 Golden Street, Cape Girardeau, MO 63703 Phone: 573-339-1196 Fax: 573-339-9378 | |
Auburn Surgery Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 S Mount Auburn Rd, Ste 200, Cape Girardeau, MO 63703 Phone: 573-332-7881 Fax: 573-651-4431 | |
Midtown Family Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 24 N Sprigg St, Cape Girardeau, MO 63701 Phone: 573-332-7992 Fax: 573-332-7998 | |
Kenneth A Decoursey, Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1723 Broadway St, Suite 120, Cape Girardeau, MO 63701 Phone: 573-334-7194 Fax: 573-334-4937 | |
Immediate Healthcare, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1702 N Kingshighway St, Cape Girardeau, MO 63701 Phone: 573-339-2000 Fax: 573-339-1876 | |
Immediate Convenient Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1702 N Kingshighway St, Cape Girardeau, MO 63701 Phone: 573-339-2000 |