Dr Derrall Shawn Parker, MD | |
360 S Mount Auburn Rd, Cape Girardeau, MO 63703-4920 | |
(573) 335-3577 | |
(573) 335-1559 |
Full Name | Dr Derrall Shawn Parker |
---|---|
Gender | Male |
Speciality | Ophthalmology |
Experience | 31 Years |
Location | 360 S Mount Auburn Rd, Cape Girardeau, Missouri |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700850500 | NPI | - | NPPES |
115309 | Other | MO | BC BS MO 43.1804777 |
1238355 | Other | MO | FIRST HEALTH 43.1804777 |
180035388 | Other | MO | RAILROAD CARE 43.1804777 |
5971604 | Other | KY | AETNA 61.1257991 |
180042674 | Other | KY | RAILROAD CARE 61.1257991 |
393192 | Other | KY | HEALTHLINK 61.1257991 |
P00288000 | Other | IL | RAILROAD CARE 43.1804777 |
180035389 | Other | KY | RAILROAD CARE 43.1804777 |
205249600 | Medicaid | MO | |
000000112968 | Other | KY | BC BS TAX ID 61.1257991 |
64012115 | Medicaid | KY | |
393192 | Other | MO | HEALTHLINK 43.1804777 |
G48960 | Other | KY | BLUEGRASS FAM 61.1257991 |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | KY30522 (Kentucky) | Secondary |
207W00000X | Ophthalmology | MD116562 (Missouri) | Primary |
207W00000X | Ophthalmology | 036-101500 (Missouri) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Saint Francis Medical Center | Cape girardeau, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Eye Care Specialists Llc | 0143117028 | 9 |
Eye Care Specialists Llc | 0143117028 | 9 |
Entity Name | Eye Care Specialists Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316071780 PECOS PAC ID: 0143117028 Enrollment ID: O20040508000104 |
Mailing Address | Practice Location Address |
---|---|
Dr Derrall Shawn Parker, MD 360 S Mount Auburn Rd, Cape Girardeau, MO 63703-4920 Ph: (573) 335-3577 | Dr Derrall Shawn Parker, MD 360 S Mount Auburn Rd, Cape Girardeau, MO 63703-4920 Ph: (573) 335-3577 |
Dr. Tatyana Igorevna Metelitsina, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 360 S Mount Auburn Rd, Cape Girardeau, MO 63703 Phone: 573-335-3577 Fax: 573-335-1559 | |
Dr. David John Westrich, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 360 S Mount Auburn Rd, Cape Girardeau, MO 63703 Phone: 573-335-3577 Fax: 573-335-1559 | |
Dr. Marybeth Esswein Kapp, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 3065 William St, Suite 207, Cape Girardeau, MO 63703 Phone: 573-334-7427 Fax: 573-334-5970 | |
Dr. John Reck Kinder, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 64 Doctors Park, Cape Girardeau, MO 63703 Phone: 573-334-5265 Fax: 573-334-3648 | |
Dr. Todd James Lumsden, D.O. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 64 Doctors Park, Cape Girardeau, MO 63703 Phone: 573-334-5265 Fax: 573-334-3648 | |
Dr. Carl Nelson Ringer, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 64 Doctors Park, Cape Girardeau, MO 63703 Phone: 573-334-5265 Fax: 573-334-3648 |