Dr Jerald Duane Chaffin, MD | |
100 W Us Highway 60, Mountain View, MO 65548-8542 | |
(417) 934-7090 | |
Not Available |
Full Name | Dr Jerald Duane Chaffin |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 100 W Us Highway 60, Mountain View, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164465613 | NPI | - | NPPES |
E-4430 | Other | AR | ARKANSAS LICENSE |
R6A25 | Other | MO | MISSOURI LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | R6A25 (Missouri) | Primary |
Entity Name | Mercy Hospital Cassville |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285676932 PECOS PAC ID: 8820999139 Enrollment ID: O20040120000164 |
Entity Name | Mercy St Francis Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023053477 PECOS PAC ID: 7810806643 Enrollment ID: O20040120000229 |
Mailing Address | Practice Location Address |
---|---|
Dr Jerald Duane Chaffin, MD 125 Stoneridge Dr, Branson, MO 65616-3714 Ph: (417) 334-1682 | Dr Jerald Duane Chaffin, MD 100 W Us Highway 60, Mountain View, MO 65548-8542 Ph: (417) 934-7090 |
Robert G Wilkie, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 100 W Us Highway 60, Mountain View, MO 65548 Phone: 417-934-7094 Fax: 417-934-7092 | |
Ernesto L Carampatan, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 100 West Highway 60, Mountain View, MO 65548 Phone: 417-934-7094 Fax: 417-934-7092 |