Kaushik Ragam, | |
340 Kelley Pkwy, Mexico, MO 65265-3811 | |
(573) 582-1234 | |
(573) 581-1981 |
Full Name | Kaushik Ragam |
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Gender | Male |
Speciality | Dentist - General Practice |
Location | 340 Kelley Pkwy, Mexico, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821767203 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 2022035542 (Missouri) | Primary |
Entity Name | East Central Missouri Behavioral Health Services, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144293549 PECOS PAC ID: 5395659403 Enrollment ID: O20031113000501 |
Mailing Address | Practice Location Address |
---|---|
Kaushik Ragam, 340 Kelley Pkwy, Mexico, MO 65265-3811 Ph: (573) 582-1234 | Kaushik Ragam, 340 Kelley Pkwy, Mexico, MO 65265-3811 Ph: (573) 582-1234 |
William Harrison Jolly, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1415 South Morris Street, Mexico, MO 65265 Phone: 573-581-0511 Fax: 573-581-0511 | |
Dr. Michael Eugene Briggs, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 201 E Monroe St, Mexico, MO 65265 Phone: 573-581-4352 | |
Dr. Marvin Elwood Rice, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 703 Medical Park Dr, Mexico, MO 65265 Phone: 573-581-7660 Fax: 573-581-0788 | |
Dr. Edward G. Stephens, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 303 N Western St, Mexico, MO 65265 Phone: 573-581-1054 Fax: 573-581-1054 | |
Dr. Bruce Warren Garrett, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 626 Summit, Mexico, MO 65265 Phone: 573-581-3121 | |
Dr. Christopher Kollath, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3612 S Clark St, Mexico, MO 65265 Phone: 573-581-4352 |