Dr Richard J Mellitt, MD | |
1605 E Broadway Ste 210, Columbia, MO 65201-8023 | |
(573) 815-4130 | |
(573) 815-4135 |
Full Name | Dr Richard J Mellitt |
---|---|
Gender | Male |
Speciality | Cardiac Surgery |
Experience | 35 Years |
Location | 1605 E Broadway Ste 210, Columbia, 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 |
---|---|---|---|
1730171026 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 2000168805 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Boone Hospital Center | Columbia, MO | Hospital |
Moberly Regional Medical Center | Moberly, MO | Hospital |
Bothwell Regional Health Center | Sedalia, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Boone Physician Services Llc | 6507090644 | 228 |
Entity Name | Chas Physician Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629301163 PECOS PAC ID: 7810038064 Enrollment ID: O20100109000194 |
Entity Name | Boone Physician Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760893259 PECOS PAC ID: 6507090644 Enrollment ID: O20131003000535 |
Mailing Address | Practice Location Address |
---|---|
Dr Richard J Mellitt, MD 1605 E Broadway Ste 210, Columbia, MO 65201-8023 Ph: (573) 815-4130 | Dr Richard J Mellitt, MD 1605 E Broadway Ste 210, Columbia, MO 65201-8023 Ph: (573) 815-4130 |
Joss D Fernandez, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 1605 E Broadway Ste 210, Columbia, MO 65201 Phone: 573-815-4130 Fax: 573-815-4135 | |
Normand Robert Caron, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Medicare Enrolled Practice Location: One Hospital Drive, Columbia, MO 65212 Phone: 573-882-6955 Fax: 573-884-0437 | |
Sebastian David Wiesemann, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 1 Hospital Dr, Mc 413, Columbia, MO 65212 Phone: 573-882-6956 | |
Andrew A Rich, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 800 Hospital Dr., Harry S. Truman Memorial Veterans Hospital, Columbia, MO 65201 Phone: 573-814-6565 Fax: 573-814-6331 |