David M Chisholm, DO | |
3870 Columbia Ave, Osage Beach, MO 65065-8689 | |
(573) 302-7490 | |
(573) 302-7895 |
Full Name | David M Chisholm |
---|---|
Gender | Male |
Speciality | Obstetrics/gynecology |
Experience | 23 Years |
Location | 3870 Columbia Ave, Osage Beach, Missouri |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366433419 | NPI | - | NPPES |
1366433419 | Medicaid | MO | |
951021 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 4283 (Arizona) | Secondary |
207V00000X | Obstetrics & Gynecology | 2023010485 (Missouri) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Richland Medical Center Inc | 2062554025 | 25 |
Entity Name | Richland Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891931978 PECOS PAC ID: 2062554025 Enrollment ID: O20100525000793 |
Mailing Address | Practice Location Address |
---|---|
David M Chisholm, DO Po Box 777, Richland, MO 65556-0777 Ph: (573) 708-7600 | David M Chisholm, DO 3870 Columbia Ave, Osage Beach, MO 65065-8689 Ph: (573) 302-7490 |
Mario Alejandro Macias Ii, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3870 Columbia Ave, Osage Beach, MO 65065 Phone: 877-406-2662 | |
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 | |
Angela J Breckenridge, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 54 Hospital Dr, 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 |