Evan E Fusco, MD | |
100 Hospital Dr, Lebanon, MO 65536-9210 | |
(417) 533-6100 | |
(417) 533-6021 |
Full Name | Evan E Fusco |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 100 Hospital Dr, Lebanon, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043323660 | NPI | - | NPPES |
206863904 | Medicaid | MO | |
1043323660 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 2000160755 (Missouri) | Primary |
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 |
---|---|
Evan E Fusco, MD Po Box 504274, Saint Louis, MO 63150-4274 Ph: (417) 829-4620 | Evan E Fusco, MD 100 Hospital Dr, Lebanon, MO 65536-9210 Ph: (417) 533-6100 |
Dr. Danelle M Richards, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Hospital Dr, Lebanon, MO 65536 Phone: 417-533-6100 | |
Dr. Jeffrey Bond, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 100 Hospital Dr, Lebanon, MO 65536 Phone: 417-533-6100 | |
Dr. Anthony Jacob Pappas, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Hospital Dr, Lebanon, MO 65536 Phone: 417-533-6100 | |
Dr. Gregory R Goodwin, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 100 Hospital Dr, Lebanon, MO 65536 Phone: 417-533-6100 Fax: 417-533-6173 | |
Donald Edward Hockman Ii, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Hospital Dr, Lebanon, MO 65536 Phone: 417-533-6100 | |
Dr. Erik Lee Snyder, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Hospital Dr, Lebanon, MO 65536 Phone: 417-533-6100 |