Dr Darwin L Davis Jr, MD | |
2002 Kanell Blvd, Suite 103, Poplar Bluff, MO 63901-4045 | |
(573) 727-9130 | |
(573) 727-9128 |
Full Name | Dr Darwin L Davis Jr |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 2002 Kanell Blvd, Poplar Bluff, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710942115 | NPI | - | NPPES |
17094 | Other | MO | BLUE CROSS BLUE SHIELD |
596059709 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 100921 (Missouri) | Primary |
Entity Name | Southeast Health Center Of Stoddard County Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477997567 PECOS PAC ID: 7315192515 Enrollment ID: O20130605000128 |
Mailing Address | Practice Location Address |
---|---|
Dr Darwin L Davis Jr, MD Po Box 989, Poplar Bluff, MO 63902-0989 Ph: (573) 778-0020 | Dr Darwin L Davis Jr, MD 2002 Kanell Blvd, Suite 103, Poplar Bluff, MO 63901-4045 Ph: (573) 727-9130 |
Robert Francis Dorsey, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3098 Oak Grove Rd, Poplar Bluff, MO 63901 Phone: 573-776-2600 Fax: 573-776-2763 | |
Dr. Donna J Allmon, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 686 Lester St, Poplar Bluff, MO 63902 Phone: 573-686-2411 Fax: 573-686-8452 | |
Silvia Pagoada Vallecillo, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3100 Oak Grove Rd, Poplar Bluff, MO 63901 Phone: 573-776-2000 | |
Ibrahim Awawdeh, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2340 Katy Ln, Poplar Bluff, MO 63901 Phone: 573-290-3293 Fax: 669-280-5057 | |
Maxine A Theriot, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3098 Oak Grove Rd, Poplar Bluff, MO 63901 Phone: 573-686-8199 Fax: 573-686-8398 | |
Bennie N Till, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 686 Lester St, Poplar Bluff, MO 63901 Phone: 573-686-2411 Fax: 573-686-8452 | |
William R Pierce, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1500 N Westwood Blvd, Poplar Bluff, MO 63901 Phone: 573-778-4729 Fax: 573-778-4731 |