Enrique Villavicencio Sumire, MD | |
135 Plaza Dr Ste 102, Sikeston, MO 63801-5148 | |
(573) 471-6010 | |
Not Available |
Full Name | Enrique Villavicencio Sumire |
---|---|
Gender | Male |
Speciality | Neurology |
Experience | 11 Years |
Location | 135 Plaza Dr Ste 102, Sikeston, Missouri |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386027506 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | R75314 (Arizona) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Missouri Delta Medical Center | Sikeston, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Missouri Delta Medical Center | 1355252891 | 74 |
Health Facilities Rehab Services Inc | 3476679226 | 94 |
Entity Name | Missouri Delta Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508967860 PECOS PAC ID: 1355252891 Enrollment ID: O20040308001306 |
Mailing Address | Practice Location Address |
---|---|
Enrique Villavicencio Sumire, MD 1008 N Main St, Sikeston, MO 63801-5044 Ph: (573) 471-1600 | Enrique Villavicencio Sumire, MD 135 Plaza Dr Ste 102, Sikeston, MO 63801-5148 Ph: (573) 471-6010 |
Mairaj Ahmad Khan, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 760 Plantation Blvd, Sikeston, MO 63801 Phone: 573-471-0800 Fax: 573-471-0810 | |
Dr. Riyadh J Tellow, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 807 N Main St, Sikeston, MO 63801 Phone: 573-472-1321 Fax: 573-472-4053 | |
Dr. Syed Afraz Salahuddin, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1019 N Main St, Sikeston, MO 63801 Phone: 573-472-7702 Fax: 573-472-7719 | |
Dr. Syed Muhammad Shahab Sayeed, M.D Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1008 N Main, Missouri Delta Medical Centre, Sikeston, MO 63801 Phone: 573-472-7490 Fax: 573-472-7521 |