Dale A Lockhert, MD | |
1870 Bagnell Dam Blvd, Lake Ozark, MO 65049 | |
(573) 365-2318 | |
(573) 365-3009 |
Full Name | Dale A Lockhert |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 30 Years |
Location | 1870 Bagnell Dam Blvd, Lake Ozark, 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 |
---|---|---|---|
1659369635 | NPI | - | NPPES |
204980916 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 2000150390 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lake Regional Home Health | Osage beach, MO | Home health agency |
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 |
---|---|
Dale A Lockhert, MD 105 E Washington St, Kennett, MO 63857-2041 Ph: (873) 888-1137 | Dale A Lockhert, MD 1870 Bagnell Dam Blvd, Lake Ozark, MO 65049 Ph: (573) 365-2318 |
Dr. Donald L. Wilhelm, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2221 Bagnell Dam Blvd, Lake Ozark, MO 65049 Phone: 573-635-5264 Fax: 573-556-5757 | |
Dr. Grant Michael Barnum, D.O. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1870 Bagnell Dam Blvd, Lake Ozark, MO 65049 Phone: 573-365-2318 Fax: 573-365-3009 |