Elliot M Deblieck, DO | |
450 E Sigler Ave Ste A, Memphis, MO 63555-1726 | |
(660) 465-2828 | |
Not Available |
Full Name | Elliot M Deblieck |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 450 E Sigler Ave Ste A, Memphis, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588288435 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 2023030282 (Missouri) | Primary |
207Q00000X | Family Medicine | R-11913 (Iowa) | Secondary |
Entity Name | Sullivan County Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063553642 PECOS PAC ID: 7810973252 Enrollment ID: O20040626000444 |
Entity Name | Scotland County Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205844982 PECOS PAC ID: 8224940366 Enrollment ID: O20040923000249 |
Entity Name | Putnam County Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609870195 PECOS PAC ID: 7911915327 Enrollment ID: O20060327000726 |
Entity Name | Scotland County Memorial Hospital |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1083624647 PECOS PAC ID: 8224940366 Enrollment ID: O20140226001733 |
Mailing Address | Practice Location Address |
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Elliot M Deblieck, DO Po Box 1475, Des Moines, IA 50305-1475 Ph: (515) 643-8678 | Elliot M Deblieck, DO 450 E Sigler Ave Ste A, Memphis, MO 63555-1726 Ph: (660) 465-2828 |
Hossain Mesbah, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 450 E Sigler Ave, Memphis, MO 63555 Phone: 660-465-8513 Fax: 660-465-8525 | |
Kelsey M Davis-humes, D.O Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 450 E Sigler Ave, Ste A, Memphis, MO 63555 Phone: 660-465-2828 Fax: 660-465-2956 | |
Elliott L Hix Jr., DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: Rr 1 Box 53, Memphis, MO 63555 Phone: 660-465-8511 Fax: 660-465-2365 | |
Jeffrey D Davis, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: Rr 1 Box 55, Sigler Ave., Memphis, MO 63555 Phone: 660-465-7037 Fax: 660-465-7350 |