Dr Daniel Elias Elizondo, MD | |
1600 E Broadway, Columbia, MO 65201-5844 | |
(573) 815-8000 | |
Not Available |
Full Name | Dr Daniel Elias Elizondo |
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Gender | Male |
Speciality | Hospitalist |
Location | 1600 E Broadway, Columbia, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366002362 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 2022034435 (Missouri) | Secondary |
208M00000X | Hospitalist | 2022034435 (Missouri) | Secondary |
208M00000X | Hospitalist | 036161301 (Illinois) | Primary |
Entity Name | Physician Groups Lc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285664268 PECOS PAC ID: 3072421254 Enrollment ID: O20040220001157 |
Entity Name | Boone Physician Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760893259 PECOS PAC ID: 6507090644 Enrollment ID: O20131003000535 |
Mailing Address | Practice Location Address |
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Dr Daniel Elias Elizondo, MD 605 Water Lilly Ave, Mcallen, TX 78504-2852 Ph: (956) 212-3337 | Dr Daniel Elias Elizondo, MD 1600 E Broadway, Columbia, MO 65201-5844 Ph: (573) 815-8000 |
Jason Shawn Ogden, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 800 Hospital Dr, Columbia, MO 65201 Phone: 573-814-6000 | |
Dr. Peter James Nilsson, DO Hospitalist Medicare: Medicare Enrolled Practice Location: One Hospital Dr, Columbia, MO 65212 Phone: 573-884-9066 Fax: 573-884-3037 | |
Ethan Scott Anderson, DO Hospitalist Medicare: Medicare Enrolled Practice Location: One Hospital Dr, Columbia, MO 65212 Phone: 573-884-9066 Fax: 573-884-3037 | |
Mr. Christopher Thomas Boyer, D.O. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: One Hospital Dr, Columbia, MO 65212 Phone: 573-884-9066 Fax: 573-884-3037 | |
Prathik Kolluru, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1600 E Broadway, Columbia, MO 65201 Phone: 573-815-8000 Fax: 573-815-8040 | |
Dr. Christopher Reid Mandler, DO Hospitalist Medicare: Medicare Enrolled Practice Location: 1 Hospital Dr, Columbia, MO 65212 Phone: 573-882-0808 | |
Dr. Monika Kulasekaran, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1 Hospital Dr, Columbia, MO 65212 Phone: 573-884-7561 |