Brent D Speak, DO | |
402 W Jefferson St, Kirksville, MO 63501-3407 | |
(660) 665-3555 | |
(660) 665-3547 |
Full Name | Brent D Speak |
---|---|
Gender | Male |
Speciality | Obstetrics/gynecology |
Experience | 19 Years |
Location | 402 W Jefferson St, Kirksville, 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 |
---|---|---|---|
1063681419 | NPI | - | NPPES |
503351801 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 2009006697 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Northeast Regional Medical Center | Kirksville, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northeast Missouri Health Council Inc | 1658280805 | 20 |
Entity Name | Northeast Missouri Health Council Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104829498 PECOS PAC ID: 1658280805 Enrollment ID: O20040112000061 |
Entity Name | Northeast Missouri Health Council Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104829498 PECOS PAC ID: 1658280805 Enrollment ID: O20040430000892 |
Mailing Address | Practice Location Address |
---|---|
Brent D Speak, DO 1416 Crown Dr, Kirksville, MO 63501-2548 Ph: (660) 627-5757 | Brent D Speak, DO 402 W Jefferson St, Kirksville, MO 63501-3407 Ph: (660) 665-3555 |
Melodie Dawn Stocks, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 402 W Jefferson St, Kirksville, MO 63501 Phone: 660-665-3555 Fax: 660-665-3547 | |
Mr. Ralph O Boling Jr., D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1605 South Baltimore Street, Suite B, Kirksville, MO 63501 Phone: 660-956-7279 Fax: 660-665-3570 |