Angela J Breckenridge, DO | |
54 Hospital Dr, Osage Beach, MO 65065-3050 | |
(573) 302-2764 | |
(573) 302-2767 |
Full Name | Angela J Breckenridge |
---|---|
Gender | Female |
Speciality | Obstetrics/gynecology |
Experience | 33 Years |
Location | 54 Hospital Dr, Osage Beach, 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 |
---|---|---|---|
1801976261 | NPI | - | NPPES |
2001 | Other | INTERNAL ID-MOTOR VEHICLE ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 38154 (Wisconsin) | Secondary |
207V00000X | Obstetrics & Gynecology | 2014028840 (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 | 80 |
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 |
Mailing Address | Practice Location Address |
---|---|
Angela J Breckenridge, DO 54 Hospital Dr, Osage Beach, MO 65065-3050 Ph: (573) 302-2764 | Angela J Breckenridge, DO 54 Hospital Dr, Osage Beach, MO 65065-3050 Ph: (573) 302-2764 |
Mario Alejandro Macias Ii, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3870 Columbia Ave, Osage Beach, MO 65065 Phone: 877-406-2662 | |
David M Chisholm, DO Obstetrics & Gynecology Medicare: May Accept Medicare Assignments Practice Location: 3870 Columbia Ave, Osage Beach, MO 65065 Phone: 573-302-7490 Fax: 573-302-7895 | |
Dr. Robert C Nielsen, DO Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 3870 Columbia Ave, Osage Beach, MO 65065 Phone: 573-302-7490 Fax: 573-302-7895 | |
Dr. Amy B Thompson, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 54 Hospital Dr, Osage Beach, MO 65065 Phone: 573-302-2764 Fax: 573-302-2767 | |
Mona H. Afrassiab, DO Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 54 Hospital Dr, Suite 201, Osage Beach, MO 65065 Phone: 573-302-2764 Fax: 573-302-2767 | |
George Peyton Hubbell, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1055 Ozark Care Dr, Suite B, Osage Beach, MO 65065 Phone: 573-348-6101 Fax: 573-348-6324 |