Dr Bonnie R Smith, MD | |
1241 W Stadium Blvd, Jefferson City, MO 65109-6023 | |
(573) 556-7755 | |
(573) 761-3599 |
Full Name | Dr Bonnie R Smith |
---|---|
Gender | Female |
Speciality | Diagnostic Radiology |
Experience | 24 Years |
Location | 1241 W Stadium Blvd, Jefferson City, Missouri |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073554267 | NPI | - | NPPES |
P00317767 | Other | MO | RAILROAD MEDICARE |
751486 | Other | MO | HEALTHLINK |
200396604 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 2005020853 (Missouri) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Jefferson City Medical Group Pc | 1850371089 | 100 |
Entity Name | Jefferson City Medical Group Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336189398 PECOS PAC ID: 1850371089 Enrollment ID: O20040908000924 |
Mailing Address | Practice Location Address |
---|---|
Dr Bonnie R Smith, MD Po Box 104240, Jefferson City, MO 65110-4240 Ph: (573) 556-7755 | Dr Bonnie R Smith, MD 1241 W Stadium Blvd, Jefferson City, MO 65109-6023 Ph: (573) 556-7755 |
Dr. E. Dwain Roberts, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1241 W Stadium Blvd, Jefferson City, MO 65109 Phone: 573-556-7755 Fax: 573-761-3599 | |
Donald K Mcnutt, D.O. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2713 Industrial Dr, Suite C, Jefferson City, MO 65109 Phone: 573-634-7884 Fax: 573-634-3146 | |
Dr. Jeffrey P. Patrick, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1241 W Stadium Blvd, Jefferson City, MO 65109 Phone: 573-556-7755 Fax: 573-761-3599 | |
Denzil J. Hawes-davis, D.O. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1125 Madison St, Jefferson City, MO 65101 Phone: 573-635-7141 Fax: 573-634-3146 | |
Dr. Steven C. Harper, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1241 W Stadium Blvd, Jefferson City, MO 65109 Phone: 573-556-7755 Fax: 573-761-3599 | |
Mitchell Teruichi Godbee, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1125 Madison St, Jefferson City, MO 65101 Phone: 573-632-5265 Fax: 573-632-5948 |