Dr Conrad S Balcer, DO | |
1241 W Stadium Blvd, Jefferson City, MO 65109-6023 | |
(573) 635-5264 | |
(573) 761-4611 |
Full Name | Dr Conrad S Balcer |
---|---|
Gender | Male |
Speciality | Internal Medicine - Cardiovascular Disease |
Location | 1241 W Stadium Blvd, 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 |
---|---|---|---|
1033199740 | NPI | - | NPPES |
000010688 | Other | MO | MCR GROUP |
260021839 | Other | MEDICARE RAILROAD | |
153505 | Other | HEALTHLINK | |
243024726 | Medicaid | MO | |
CP9089 | Other | MO | RAILROAD GROUP |
112014 | Other | MO | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | R3H14 (Missouri) | Secondary |
207RC0000X | Internal Medicine - Cardiovascular Disease | R3H14 (Missouri) | Primary |
Entity Name | Cole Physician Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144578659 PECOS PAC ID: 0648420810 Enrollment ID: O20121024000296 |
Mailing Address | Practice Location Address |
---|---|
Dr Conrad S Balcer, DO Po Box 104240, Jefferson City, MO 65110-4240 Ph: (573) 556-5191 | Dr Conrad S Balcer, DO 1241 W Stadium Blvd, Jefferson City, MO 65109-6023 Ph: (573) 635-5264 |
Vineela Kasireddy, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1432 Southwest Blvd, Jefferson City, MO 65109 Phone: 573-632-4800 | |
Mr. Ghulam Ghous, M.D Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 1125 Madison St, Jefferson City, MO 65101 Phone: 573-632-5000 Fax: 573-634-2033 | |
Dr. Thomas W. Schneider, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1241 W Stadium Blvd, Jefferson City, MO 65109 Phone: 573-635-5264 Fax: 573-761-4351 | |
Rolando Daniel Breier, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1241 W Stadium Blvd, Jefferson City, MO 65109 Phone: 573-893-6404 Fax: 573-893-6505 | |
Chad Zeglis, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 2505 Mission Dr, Jefferson City, MO 65109 Phone: 573-681-3396 Fax: 573-681-3617 | |
Dr. Rodd L Hillard, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 2707 W Edgewood Dr, Jefferson City, MO 65109 Phone: 573-635-0233 Fax: 573-635-7436 |