Dr Mary Patricia Faurot, MD | |
1125 Madison St, Jefferson City, MO 65101-5227 | |
(573) 632-5510 | |
(573) 632-5810 |
Full Name | Dr Mary Patricia Faurot |
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Gender | Female |
Speciality | Obstetrics & Gynecology |
Location | 1125 Madison St, Jefferson City, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932726494 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 2024030816 (Missouri) | Primary |
Entity Name | Jefferson City Medical Group Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336189398 PECOS PAC ID: 1850371089 Enrollment ID: O20040908000924 |
Entity Name | The Curators Of The University Of Missouri |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235126921 PECOS PAC ID: 4486759560 Enrollment ID: O20070418000290 |
Mailing Address | Practice Location Address |
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Dr Mary Patricia Faurot, MD Po Box 843966, Kansas City, MO 64184-3966 Ph: (573) 884-3300 | Dr Mary Patricia Faurot, MD 1125 Madison St, Jefferson City, MO 65101-5227 Ph: (573) 632-5510 |
Amanda Taube Rodemann, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1241 W Stadium Blvd, Suite 102, Jefferson City, MO 65109 Phone: 573-636-5248 Fax: 573-636-9390 | |
Dr. William H. Marshall, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1241 W Stadium Blvd, Jefferson City, MO 65109 Phone: 573-635-5264 Fax: 573-556-5757 | |
Jodi A Berendzen, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1241 W Stadium Blvd, Suite 102, Jefferson City, MO 65109 Phone: 573-636-5248 Fax: 573-636-9390 | |
Teri A Deffenbaugh, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1125 Madison St, Ob Gyn Associates, Jefferson City, MO 65101 Phone: 573-632-5510 Fax: 573-632-5810 | |
Serese Yvonne Smith-haxton, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1125 Madison St, Jefferson City, MO 65101 Phone: 573-632-5510 Fax: 573-632-5810 | |
Brandi Nichols, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1241 W Stadium Blvd, Jefferson City, MO 65109 Phone: 573-636-5248 Fax: 573-636-9390 | |
Dana Madsen Calcutt, DO Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1014 Madison St, Ob/gyn Associates, Jefferson City, MO 65101 Phone: 573-632-5510 Fax: 573-632-5810 |