Dr Laura A Tavernier, MD | |
4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098 | |
(573) 596-0417 | |
Not Available |
Full Name | Dr Laura A Tavernier |
---|---|
Gender | Female |
Speciality | Emergency Medicine |
Location | 4430 Missouri Ave, Fort Leonard Wood, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932101953 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | G077131 (California) | Secondary |
207P00000X | Emergency Medicine | 31007 (Tennessee) | Primary |
Entity Name | Providence Medical Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346 |
Entity Name | Pacific Redwood Medical Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295924470 PECOS PAC ID: 6204913767 Enrollment ID: O20080408000421 |
Entity Name | Big River Emergency Physicians Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033501168 PECOS PAC ID: 2466764303 Enrollment ID: O20150706002430 |
Mailing Address | Practice Location Address |
---|---|
Dr Laura A Tavernier, MD 4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098 Ph: (573) 596-0417 | Dr Laura A Tavernier, MD 4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098 Ph: (573) 596-0417 |
Dr. Sean Eliot Scott, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 4430 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 573-596-0417 | |
Marcus Stephens Teng, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4430 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 573-596-0417 | |
Dr. John L Westhoff Ii, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 126 Missouri Ave, Mcxp-ccs-cr, Fort Leonard Wood, MO 65473 Phone: 573-596-0417 Fax: 573-596-0524 | |
Dr. Thomas B. Smith, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 4430 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 573-596-0035 | |
Dr. Rachel Morgan Armstrong, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 4430 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 573-596-0417 | |
Dr. Evan Ross Cameron, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4430 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 573-864-6607 | |
Dr. Derek Bradley Douglas, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 4430 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 253-968-2997 |