Dr Simon John Mckeown, MD | |
3626 S Clark St, Mexico, MO 65265-4104 | |
(573) 581-1812 | |
(573) 581-1471 |
Full Name | Dr Simon John Mckeown |
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Gender | Male |
Speciality | Family Medicine |
Location | 3626 S Clark St, Mexico, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114942273 | NPI | - | NPPES |
205459308 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 2004021597 (Missouri) | Secondary |
207Q00000X | Family Medicine | 2004021597 (Missouri) | Primary |
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 |
Entity Name | Noble Health Audrain Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447841168 PECOS PAC ID: 0446667299 Enrollment ID: O20210430001237 |
Mailing Address | Practice Location Address |
---|---|
Dr Simon John Mckeown, MD P.o. Box 478, Mexico, MO 65265 Ph: (573) 581-8127 | Dr Simon John Mckeown, MD 3626 S Clark St, Mexico, MO 65265-4104 Ph: (573) 581-1812 |
Dr. George D Comfort, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 620 E Monroe St, Mexico, MO 65265 Phone: 573-582-4000 Fax: 573-582-3712 | |
Dr. Stever John Taylor, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 321 N Washington St, Mexico, MO 65265 Phone: 573-581-1129 Fax: 573-581-6994 | |
Zachary Joel Treat, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 605 E Promenade St, Mexico, MO 65265 Phone: 573-200-6078 | |
Alexander Charles Finck, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 809 Medical Park Dr Ste 101, Mexico, MO 65265 Phone: 573-200-6078 | |
Dr. Sudhansu Kothary, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 626 E Summit St, Suite L, Mexico, MO 65265 Phone: 573-581-6266 Fax: 573-581-0955 | |
Jerome John Mank, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1 Veterans Way, Mexico, MO 65265 Phone: 573-581-9630 |