Dr Lloyd J Cleaver, DO | |
1316 Country Club Dr, Kirksville, MO 63501-5362 | |
(660) 627-7546 | |
(660) 956-7097 |
Full Name | Dr Lloyd J Cleaver |
---|---|
Gender | Male |
Speciality | Dermatology |
Experience | 48 Years |
Location | 1316 Country Club Dr, Kirksville, Missouri |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104829829 | NPI | - | NPPES |
DG4290 | Other | MO | RAILROAD MEDICARE GROUP# |
070004124 | Other | MO | RAILROAD MEDICARE |
000014853 | Other | MEDICARE GROUP # | |
501218200 | Other | MO | MEDICAID GROUP# |
242210912 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | R8895 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Northeast Regional Medical Center | Kirksville, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Cleaver Dermatology Pc | 4587946298 | 4 |
Entity Name | Cleaver Dermatology Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013452861 PECOS PAC ID: 4587946298 Enrollment ID: O20170116000150 |
Mailing Address | Practice Location Address |
---|---|
Dr Lloyd J Cleaver, DO 1316 Country Club Dr, Kirksville, MO 63501-5362 Ph: (660) 627-7546 | Dr Lloyd J Cleaver, DO 1316 Country Club Dr, Kirksville, MO 63501-5362 Ph: (660) 627-7546 |
Jonathan Lloyd Cleaver, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1316 Country Club Dr, Kirksville, MO 63501 Phone: 660-627-7546 Fax: 660-956-7097 | |
David Wesley Cleaver, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1316 Country Club Dr, Kirksville, MO 63501 Phone: 660-627-7546 Fax: 660-956-7097 | |
Benjamin Edward Adams, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 700 W Jefferson St, Kirksville, MO 63501 Phone: 660-665-2191 Fax: 660-626-2714 | |
Allison Jessica Goldenstein, DO Dermatology Medicare: Not Enrolled in Medicare Practice Location: 315 S Osteopathy Ave, Kirksville, MO 63501 Phone: 660-785-1000 | |
Jordan Bryan Lane, DO Dermatology Medicare: Not Enrolled in Medicare Practice Location: 315 S Osteopathy Ave, Kirksville, MO 63501 Phone: 660-785-1000 | |
Baydon Earl Hilton, Dermatology Medicare: Medicare Enrolled Practice Location: 1003 Kings Rd, Kirksville, MO 63501 Phone: 336-327-0645 |