Dr Jose A Atiles, MD | |
1905 W 19th St, Mountain Grove, MO 65711-1287 | |
(417) 926-1770 | |
(417) 926-1785 |
Full Name | Dr Jose A Atiles |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 1905 W 19th St, Mountain Grove, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871580241 | NPI | - | NPPES |
209187707 | Medicaid | MO | |
26D2006074 | Other | MO | CLIA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 112620 (Missouri) | Primary |
Entity Name | Texas County Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285957001 PECOS PAC ID: 9436041696 Enrollment ID: O20100813000720 |
Mailing Address | Practice Location Address |
---|---|
Dr Jose A Atiles, MD 2300 Hammond Mill Ln, West Plains, MO 65775-6548 Ph: (417) 256-2511 | Dr Jose A Atiles, MD 1905 W 19th St, Mountain Grove, MO 65711-1287 Ph: (417) 926-1770 |
Dr. Matthew Austin Brown, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 9100 13th Rd, Mountain Grove, MO 65711 Phone: 417-260-4150 | |
Mr. Stanley J Crown, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1905 W 19th St, Mountain Grove, MO 65711 Phone: 417-926-1770 Fax: 417-926-1785 | |
Samuel Aaron Newton, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 E 19th St, Mountain Grove, MO 65711 Phone: 417-926-6563 Fax: 417-926-5820 | |
Dr. Robin Coffey, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 120 W 16th St, Mountain Grove, MO 65711 Phone: 417-926-6111 | |
Dr. Jennifer L Lambert, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 E 19th St, Mountain Grove, MO 65711 Phone: 417-926-6563 Fax: 417-926-5820 | |
Dr. Nancy J. Hayes, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 120 W 16th St, Mountain Grove, MO 65711 Phone: 417-926-6111 Fax: 417-926-6115 | |
Dr. Elton W. Hoerning, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1905 W 19th St, Mountain Grove, MO 65711 Phone: 417-926-1770 Fax: 417-926-1785 |