Dr Stephanie Hose, MD | |
1241 W Stadium Blvd, Jefferson City, MO 65109-6023 | |
(573) 556-7719 | |
(573) 635-2156 |
Full Name | Dr Stephanie Hose |
---|---|
Gender | Female |
Speciality | Dermatology |
Experience | 29 Years |
Location | 1241 W Stadium Blvd, Jefferson City, Missouri |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497735195 | NPI | - | NPPES |
204713408 | Medicaid | MO | |
070013526 | Other | MO | RAILROAD MEDICARE |
CD6059 | Other | MO | RR GROUP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 111174 (Missouri) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Jefferson City Medical Group Pc | 1850371089 | 100 |
Entity Name | Jefferson City Medical Group Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972668903 PECOS PAC ID: 1850371089 Enrollment ID: O20040901000004 |
Entity Name | Jefferson City Medical Group Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336189398 PECOS PAC ID: 1850371089 Enrollment ID: O20040908000924 |
Mailing Address | Practice Location Address |
---|---|
Dr Stephanie Hose, MD Po Box 104240, Jefferson City, MO 65110-4240 Ph: (573) 556-7719 | Dr Stephanie Hose, MD 1241 W Stadium Blvd, Jefferson City, MO 65109-6023 Ph: (573) 556-7719 |
Jordan Elizabeth Parker, MD Dermatology Medicare: Medicare Enrolled Practice Location: 2707 W Edgewood Dr Ste 102, Jefferson City, MO 65109 Phone: 573-761-1830 Fax: 573-761-1829 | |
Victoria Gunn, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1620 Southridge Dr Ste B, Jefferson City, MO 65109 Phone: 573-761-1830 Fax: 573-761-1829 | |
Kimberly Anne Eisenstein, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 2707 W Edgewood Dr Ste 102, Jefferson City, MO 65109 Phone: 573-761-1830 Fax: 573-761-1829 |