Dr Timothy R Isakson, MD | |
1050 W 10th St, Rolla, MO 65401 | |
(573) 426-2229 | |
(573) 426-4914 |
Full Name | Dr Timothy R Isakson |
---|---|
Gender | Male |
Speciality | Obstetrics & Gynecology |
Location | 1050 W 10th St, Rolla, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487790168 | NPI | - | NPPES |
208754804 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 036157148 (Illinois) | Secondary |
207V00000X | Obstetrics & Gynecology | 2002018248 (Missouri) | Primary |
Entity Name | Physician Groups Lc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285664268 PECOS PAC ID: 3072421254 Enrollment ID: O20040220001157 |
Entity Name | Lester E Cox Medical Centers |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902969272 PECOS PAC ID: 5799787784 Enrollment ID: O20070215000622 |
Mailing Address | Practice Location Address |
---|---|
Dr Timothy R Isakson, MD 1050 W 10th St, Attn: Executive Director Of Physician Clinics, Rolla, MO 65401 Ph: (573) 364-9000 | Dr Timothy R Isakson, MD 1050 W 10th St, Rolla, MO 65401 Ph: (573) 426-2229 |
Dr. Jenny L Pennycook, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1050 W 10th St, Rolla, MO 65401 Phone: 573-426-2229 Fax: 573-202-2460 | |
Dr. Karrie A. Cunningham, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1605 Martin Springs Dr, Suite 320, Rolla, MO 65401 Phone: 573-458-6359 Fax: 573-458-6826 | |
Nathan Ratchford, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1050 W 10th St, Rolla, MO 65401 Phone: 573-364-9000 Fax: 573-202-2460 | |
Dr. Max A Lungren, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1605 Martin Springs Dr, Ste 320, Rolla, MO 65401 Phone: 573-458-6359 Fax: 573-458-6826 | |
Wesley Calvin Harden, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1050 W 10th St, Rolla, MO 65401 Phone: 573-364-9000 Fax: 573-202-2460 | |
Dr. James M Davison, D.O. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1050 W 10th St, Rolla, MO 65401 Phone: 573-364-9000 Fax: 573-426-4914 |