Dr Andrew B Boldrey, MD | |
1012 N Main St, Sikeston, MO 63801-5044 | |
(573) 431-0330 | |
(573) 471-0461 |
Full Name | Dr Andrew B Boldrey |
---|---|
Gender | Male |
Speciality | Pediatric Medicine |
Experience | 19 Years |
Location | 1012 N Main St, Sikeston, 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 |
---|---|---|---|
1306824735 | NPI | - | NPPES |
430741410 | Other | MO | FIRST HEALTH NUMBER |
730776 | Other | MO | HEALTHLINK |
199827 | Other | MO | BCBS MO NUMBER |
207266701 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 2005022494 (Missouri) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Saint Francis Medical Center | 9931007929 | 387 |
Entity Name | Saint Francis Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356304489 PECOS PAC ID: 9931007929 Enrollment ID: O20040107000140 |
Mailing Address | Practice Location Address |
---|---|
Dr Andrew B Boldrey, MD Po Box 801143, Kansas City, MO 64180-1143 Ph: (573) 331-5583 | Dr Andrew B Boldrey, MD 1012 N Main St, Sikeston, MO 63801-5044 Ph: (573) 431-0330 |
Macy Faye Manier, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 1012 N Main St, Sikeston, MO 63801 Phone: 573-471-0330 Fax: 573-471-0461 | |
Dr. Kevin J. Blanton, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1012 N Main St, Sikeston, MO 63801 Phone: 573-431-0330 Fax: 573-471-0461 | |
Dr. David A. Lawrence, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1012 N Main St, Sikeston, MO 63801 Phone: 573-471-0330 Fax: 573-471-0461 |