Dr Lydia W Keisler, MD | |
1515 Hazel St, Suite 101, Carthage, MO 64836-2850 | |
(417) 358-0188 | |
(417) 358-4612 |
Full Name | Dr Lydia W Keisler |
---|---|
Gender | Female |
Speciality | Obstetrics & Gynecology |
Location | 1515 Hazel St, Carthage, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407817737 | NPI | - | NPPES |
207V00000X | Other | MO | TAXONOMY |
209731827 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 101562 (Missouri) | Primary |
Entity Name | Mercy Clinic Springfield Communities |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245277631 PECOS PAC ID: 7416865845 Enrollment ID: O20031104000060 |
Entity Name | Ssm Health Care St Louis |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275586174 PECOS PAC ID: 7810800737 Enrollment ID: O20031118000393 |
Entity Name | Elite Pain Management Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609257773 PECOS PAC ID: 2062724602 Enrollment ID: O20150814014362 |
Mailing Address | Practice Location Address |
---|---|
Dr Lydia W Keisler, MD 1515 Hazel St, Suite 101, Carthage, MO 64836-2850 Ph: (417) 358-0188 | Dr Lydia W Keisler, MD 1515 Hazel St, Suite 101, Carthage, MO 64836-2850 Ph: (417) 358-0188 |
Elizabeth M Barlet, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1515 Hazel St, Carthage, MO 64836 Phone: 417-358-0188 Fax: 417-358-0189 | |
Dr. John Barry Kelly Sr., MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 3125 Dr Russell Smith Way, Carthage, MO 64836 Phone: 417-358-8121 |