Dr Holland Hoyt Haynie Iii, MD26719 | |
3870 Columbia Ave, Osage Beach, MO 65065-8689 | |
(573) 708-7600 | |
Not Available |
Full Name | Dr Holland Hoyt Haynie Iii |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 3870 Columbia Ave, Osage Beach, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154419182 | NPI | - | NPPES |
MD26719 | Other | OR | LICENSE |
278996 | Medicaid | OR | |
838331006 | Other | OR | BC/BS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD26719 (Oregon) | Secondary |
207Q00000X | Family Medicine | 2024012818 (Missouri) | Primary |
Entity Name | Richland Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891931978 PECOS PAC ID: 2062554025 Enrollment ID: O20100525000793 |
Entity Name | Allmo Collective Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881473569 PECOS PAC ID: 8325495112 Enrollment ID: O20231116000833 |
Mailing Address | Practice Location Address |
---|---|
Dr Holland Hoyt Haynie Iii, MD26719 Po Box 777, Richland, MO 65556-0777 Ph: (573) 708-7600 | Dr Holland Hoyt Haynie Iii, MD26719 3870 Columbia Ave, Osage Beach, MO 65065-8689 Ph: (573) 708-7600 |
Samuel Brayfield, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5816 Osage Beach Pkwy, Suite 108, Osage Beach, MO 65065 Phone: 573-636-3313 Fax: 573-636-5881 | |
Dr. John Carlyn Brand, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1057 Medical Park Dr, Osage Beach, MO 65065 Phone: 573-302-3100 Fax: 573-348-8279 | |
Dr. Gina Renee Carter, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 940 Executive Dr, Lake Cboc-va, Osage Beach, MO 65065 Phone: 573-302-7890 Fax: 573-302-7974 | |
Dr. Mark W. Shen, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1057 Medical Park Dr, Suite A, Osage Beach, MO 65065 Phone: 573-348-2745 Fax: 573-348-8279 | |
Mrs. Amy R Lockhert, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1057 Medical Park Dr, Osage Beach, MO 65065 Phone: 573-302-3100 | |
Dr. Randall C Barnes, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1057 Medical Park Dr, Suite A, Osage Beach, MO 65065 Phone: 573-302-3200 Fax: 573-302-3210 |