Carisa Petris, MD | |
1 Hospital Dr, Columbia, MO 65201-5276 | |
(573) 882-8885 | |
(573) 884-4808 |
Full Name | Carisa Petris |
---|---|
Gender | Female |
Speciality | Ophthalmology |
Experience | 15 Years |
Location | 1 Hospital Dr, Columbia, 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 |
---|---|---|---|
1962630673 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | T2009017018 (Missouri) | Secondary |
207WX0200X | Ophthalmology - Ophthalmic Plastic And Reconstructive Surgery | T2009017018 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
University Of Missouri Health Care | Columbia, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The Curators Of The University Of Missouri | 4486759560 | 997 |
Entity Name | The Curators Of The University Of Missouri |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235126921 PECOS PAC ID: 4486759560 Enrollment ID: O20070418000290 |
Mailing Address | Practice Location Address |
---|---|
Carisa Petris, MD 1 Hospital Dr, Columbia, MO 65201-5276 Ph: (573) 882-8885 | Carisa Petris, MD 1 Hospital Dr, Columbia, MO 65201-5276 Ph: (573) 882-8885 |
Mohannad Al-samarraie, M.D Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 3215 Wingate Ct, Suite 102, Columbia, MO 65201 Phone: 573-882-8920 Fax: 573-884-4868 | |
Vaishnavi Balendiran, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: One Hospital Dr, Columbia, MO 65212 Phone: 573-884-3937 Fax: 573-884-5575 | |
Dr. Jella Angela An, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: One Hospital Drive, Columbia, MO 65212 Phone: 573-882-1506 Fax: 573-884-5575 | |
Maggie A Cardonell, M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 3215 Wingate Court, Ste 102, Columbia, MO 65201 Phone: 573-882-8920 Fax: 573-884-4868 | |
Dr. Tricia Ann Fernandez, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 3215 Wingate Ct, Columbia, MO 65201 Phone: 573-884-3937 Fax: 573-884-4868 | |
Maxwell James Court, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 3215 Wingate Ct Ste 102, Columbia, MO 65201 Phone: 573-884-3937 Fax: 573-884-4868 | |
Dr. Kathy J Lentz, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: Mason Eye Institute University Of Missouri, 1 Hospital Drive, Columbia, MO 65212 Phone: 573-882-1027 |