Andrew B Hyatt, DO | |
1854 Broadway St, Cape Girardeau, MO 63701-4553 | |
(573) 381-5050 | |
(573) 519-6050 |
Full Name | Andrew B Hyatt |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 1854 Broadway St, Cape Girardeau, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982667986 | NPI | - | NPPES |
962601701 | Other | MO | MEDICARE GROUP PIN (LA) |
962602300 | Other | MO | MEDICARE GROUP PIN (BG) |
204905905 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 2006012804 (Missouri) | Secondary |
207P00000X | Emergency Medicine | 2006012804 (Missouri) | Primary |
Entity Name | Southeast Missouri Hospital Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558311522 PECOS PAC ID: 9133024334 Enrollment ID: O20031201000775 |
Entity Name | Southeast Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811006661 PECOS PAC ID: 7719897776 Enrollment ID: O20041213000372 |
Entity Name | Southeastern Emergency Physicians Of Memphis Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437105277 PECOS PAC ID: 5395643209 Enrollment ID: O20060711000434 |
Entity Name | Southeast Health Center Of Stoddard County Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477997567 PECOS PAC ID: 7315192515 Enrollment ID: O20130605000128 |
Mailing Address | Practice Location Address |
---|---|
Andrew B Hyatt, DO 1854 Broadway St, Cape Girardeau, MO 63701-4553 Ph: (573) 381-5050 | Andrew B Hyatt, DO 1854 Broadway St, Cape Girardeau, MO 63701-4553 Ph: (573) 381-5050 |
Dr. Michael K Hammond, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 211 St Francis Dr, Cape Girardeau, MO 63703 Phone: 573-331-5228 Fax: 573-331-5039 | |
Dr. Chad Armstrong, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 211 Saint Francis Dr, Cape Girardeau, MO 63703 Phone: 573-331-5110 Fax: 573-335-4689 | |
Dr. Anne M Delonais-turner, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 211 Saint Francis Dr, Cape Girardeau, MO 63703 Phone: 573-331-5110 Fax: 573-335-4689 | |
Dr. Zachary Lee Hudson, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1701 Lacey St, Cape Girardeau, MO 63701 Phone: 573-334-4822 | |
Tyler Elton Ocon, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 211 Saint Francis Dr, Cape Girardeau, MO 63703 Phone: 573-331-5110 Fax: 573-335-4689 | |
Dr. Lauren Blackwelder, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 211 St Francis Dr, Cape Girardeau, MO 63703 Phone: 573-331-5229 Fax: 573-331-5039 | |
Dr. Lauren Beezley Blake, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 211 Saint Francis Dr, Cape Girardeau, MO 63703 Phone: 573-331-5110 Fax: 573-335-4689 |