Dr Osamede Edokpolo, MD | |
620 E Monroe St, Mexico, MO 65265-2919 | |
(573) 582-5000 | |
Not Available |
Full Name | Dr Osamede Edokpolo |
---|---|
Gender | Male |
Speciality | Psychiatry |
Experience | 23 Years |
Location | 620 E Monroe St, Mexico, 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 |
---|---|---|---|
1326334459 | NPI | - | NPPES |
431560263 | Other | MO | TRICARE |
1326334459 | Medicaid | MO | |
P01222578 | Other | MO | RR MCR |
198983001 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 2013002773 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mercy Hospital Springfield | Springfield, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Citizens Memorial Healthcare | 4183528169 | 101 |
Mercy Clinic Springfield Communities | 7416865845 | 933 |
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 | State Of Missouri |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164477873 PECOS PAC ID: 1456254226 Enrollment ID: O20040129000481 |
Entity Name | Citizens Memorial Healthcare |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568566131 PECOS PAC ID: 4183528169 Enrollment ID: O20040315001374 |
Entity Name | Mindsmattersmd Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356962799 PECOS PAC ID: 3971912932 Enrollment ID: O20210504002898 |
Mailing Address | Practice Location Address |
---|---|
Dr Osamede Edokpolo, MD Po Box 2580, Springfield, MO 65801-2580 Ph: (417) 829-4620 | Dr Osamede Edokpolo, MD 620 E Monroe St, Mexico, MO 65265-2919 Ph: (573) 582-5000 |
Ahsan Syed, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 321 W Promenade St, Mexico, MO 65265 Phone: 573-582-1234 Fax: 573-582-1212 | |
Dr. Sarmistha Bhalla, M.D Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 321 W Promenade St, Mexico, MO 65265 Phone: 573-582-1234 Fax: 573-582-1212 | |
Zaki A Ajans, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 400 E Liberty St, Mexico, MO 65265 Phone: 573-582-1234 Fax: 573-582-1212 | |
Ahmed A Taranissi, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 340 Kelley Pkwy, Mexico, MO 65265 Phone: 573-582-1234 Fax: 573-582-1212 | |
Dr. Jennifer Elaine Brockman, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 321 W Promenade St, Mexico, MO 65265 Phone: 573-582-1234 Fax: 573-582-1212 | |
Syed K Imam, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 340 Kelley Pkwy, Mexico, MO 65265 Phone: 573-582-1234 Fax: 573-582-1212 |