Dr Robert M Cavagnol, MD | |
1965 S Fremont Ave, Suite 100, Springfield, MO 65804-2201 | |
(417) 820-3800 | |
(417) 820-3810 |
Full Name | Dr Robert M Cavagnol |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 24 Years |
Location | 1965 S Fremont Ave, Springfield, 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 |
---|---|---|---|
1043273188 | NPI | - | NPPES |
168867001 | Medicaid | AR | |
431560263 | Other | MO | TRICARE WEST |
P00709670 | Other | RAILROAD MEDICARE | |
1043273188 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 35086247 (Ohio) | Secondary |
208600000X | Surgery | 2007026645 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Luke's Elmore Medical Center | Mountain home, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St Lukes Clinic-treasure Valley Llc | 4981878402 | 991 |
Entity Name | St Lukes Clinic-treasure Valley Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326336058 PECOS PAC ID: 4981878402 Enrollment ID: O20111119000045 |
Mailing Address | Practice Location Address |
---|---|
Dr Robert M Cavagnol, MD 1965 S Fremont Ave, Suite 100, Springfield, MO 65804-2201 Ph: (417) 820-3800 | Dr Robert M Cavagnol, MD 1965 S Fremont Ave, Suite 100, Springfield, MO 65804-2201 Ph: (417) 820-3800 |
Matthew E Simpson, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 761 S Hickory Ter, Springfield, MO 65809 Phone: 417-894-6536 | |
Zachary C Schmittling, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3800 S National Ave, Springfield, MO 65807 Phone: 417-875-3700 Fax: 417-875-3737 | |
Timothy D Woods, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1001 E Primrose St, Springfield, MO 65807 Phone: 417-875-3000 Fax: 417-875-3245 | |
Charles W Dunn, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1222 S Delaware Ave, Springfield, MO 65804 Phone: 417-860-7743 Fax: 417-269-7567 | |
James Gibson, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3015 S Ridge Dr, Springfield, MO 65809 Phone: 417-887-2342 | |
Dr. Dante Caleb-samuel Dali, DO, FACS Surgery Medicare: Accepting Medicare Assignments Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-3960 |