Dr Travis Tyler Hawks, MD | |
1307 S Main St, Lockwood, MO 65682-8327 | |
(417) 232-4560 | |
Not Available |
Full Name | Dr Travis Tyler Hawks |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 1307 S Main St, Lockwood, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700053444 | NPI | - | NPPES |
PENDING | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 060849 (Georgia) | Secondary |
207Q00000X | Family Medicine | 2014005002 (Missouri) | Primary |
Entity Name | Mercy Clinic Springfield Communities |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245277631 PECOS PAC ID: 7416865845 Enrollment ID: O20031104000060 |
Entity Name | Mercy Clinic Springfield Communities |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972771657 PECOS PAC ID: 7416865845 Enrollment ID: O20031218000354 |
Entity Name | Mercy Hospital Cassville |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285676932 PECOS PAC ID: 8820999139 Enrollment ID: O20040120000164 |
Entity Name | Mercy Hospital Aurora |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467543090 PECOS PAC ID: 9436063211 Enrollment ID: O20040727000335 |
Entity Name | Mercy Hospital Lebanon |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447284898 PECOS PAC ID: 7214829019 Enrollment ID: O20040907000806 |
Mailing Address | Practice Location Address |
---|---|
Dr Travis Tyler Hawks, MD Po Box 505164, Saint Louis, MO 63150-5164 Ph: (417) 820-2000 | Dr Travis Tyler Hawks, MD 1307 S Main St, Lockwood, MO 65682-8327 Ph: (417) 232-4560 |
Dr. Beverly A. Holmes, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1307 S Main St, Route 3, Box 25, Lockwood, MO 65682 Phone: 417-232-4560 Fax: 417-232-4611 | |
Angie J Whitesell, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1307 Main Street, Lockwood, MO 65682 Phone: 417-232-4560 Fax: 417-232-4611 |