Dr Autumn A Han, MD | |
1125 Madison St, Jefferson City, MO 65101-5200 | |
(573) 632-5525 | |
Not Available |
Full Name | Dr Autumn A Han |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 1125 Madison St, Jefferson City, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184967960 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 2013020310 (Missouri) | Primary |
208000000X | Pediatrics | T3296 (Texas) | Secondary |
Entity Name | Pediatrix Medical Group Of Texas Billing Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649377359 PECOS PAC ID: 0042283921 Enrollment ID: O20110907001264 |
Mailing Address | Practice Location Address |
---|---|
Dr Autumn A Han, MD 1125 Madison St, Jefferson City, MO 65101-5227 Ph: (573) 632-5525 | Dr Autumn A Han, MD 1125 Madison St, Jefferson City, MO 65101-5200 Ph: (573) 632-5525 |
Susan Stackelhouse Voss, Pediatrics Medicare: Medicare Enrolled Practice Location: 1125 Madison St, Jefferson City, MO 65101 Phone: 573-632-5525 Fax: 573-632-5811 | |
Dr. Olakunle Joseph Oni, MD, MPH Pediatrics Medicare: Medicare Enrolled Practice Location: 1125 Madison St, Jefferson City, MO 65101 Phone: 573-632-5525 | |
Dr. William Busby, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3348 American Ave, Jefferson City, MO 65109 Phone: 573-761-7210 Fax: 573-634-8802 | |
Dr. George L Mcelroy, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3348 American Ave, Jefferson City, MO 65109 Phone: 573-761-7210 Fax: 573-634-8802 | |
Dr. Brian Conley, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3348 American Ave, Jefferson City, MO 65109 Phone: 573-761-7210 Fax: 573-634-5990 | |
Dr. Aimee Michelle Lorenz, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1125 Madison St, Jefferson City, MO 65101 Phone: 573-632-5525 Fax: 573-632-5811 |