Dr Jerry L Wait, DO | |
130 E Lockling St, Brookfield, MO 64628-2337 | |
(660) 258-1050 | |
(660) 258-1048 |
Full Name | Dr Jerry L Wait |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 130 E Lockling St, Brookfield, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316013675 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | R9B40 (Missouri) | Secondary |
207Q00000X | Family Medicine | R9B40 (Missouri) | Primary |
Entity Name | General John J Pershing Memorial Hospital Association |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982612461 PECOS PAC ID: 2860306750 Enrollment ID: O20031117000114 |
Entity Name | General John J Pershing Memorial Hospital Association |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487616256 PECOS PAC ID: 2860306750 Enrollment ID: O20050422000230 |
Mailing Address | Practice Location Address |
---|---|
Dr Jerry L Wait, DO 21819 Wait Trl, Kirksville, MO 63501-7753 Ph: (660) 785-1000 | Dr Jerry L Wait, DO 130 E Lockling St, Brookfield, MO 64628-2337 Ph: (660) 258-1050 |
Brian Kevin Knowles, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 624 W. Lockling St, Brookfield, MO 64628 Phone: 660-258-3363 Fax: 660-258-5409 | |
Kendal Lewis Geno, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 125 E Lockling St, Brookfield, MO 64628 Phone: 660-258-8237 | |
Dr. Michael R Crist, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 814 Fairlane Dr, Brookfield, MO 64628 Phone: 660-258-3397 Fax: 660-258-3945 |