Dr Angela D Collins, MD | |
1195 N Oakland Ave, Suite 2, Bolivar, MO 65613-8095 | |
(417) 777-2121 | |
(417) 777-2854 |
Full Name | Dr Angela D Collins |
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Gender | Female |
Speciality | Pediatrics |
Location | 1195 N Oakland Ave, Bolivar, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629120506 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 2006018403 (Missouri) | Primary |
Entity Name | Citizens Memorial Healthcare |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568566131 PECOS PAC ID: 4183528169 Enrollment ID: O20040315001374 |
Mailing Address | Practice Location Address |
---|---|
Dr Angela D Collins, MD 1500 N Oakland Ave, Bolivar, MO 65613-3011 Ph: (417) 328-6501 | Dr Angela D Collins, MD 1195 N Oakland Ave, Suite 2, Bolivar, MO 65613-8095 Ph: (417) 777-2121 |
James G Liesen, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 1195 N Oakland Ave, Suite 2, Bolivar, MO 65613 Phone: 417-777-2121 Fax: 417-777-2854 | |
Dr. Maida Patricia Baugh, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1165 N Butterfield Rd, Bolivar, MO 65613 Phone: 417-777-2121 Fax: 417-777-2854 | |
Dr. Shannon Leigh Calvert, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1195 N Oakland Ave, Suite 2, Bolivar, MO 65613 Phone: 417-777-2121 Fax: 417-777-2854 | |
Garrett Monk Alderfer, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1500 N Oakland Ave, Bolivar, MO 65613 Phone: 417-328-6000 |