Gary Luther Ward Ii, DO | |
2002 Kanell Blvd, Suite 106, Poplar Bluff, MO 63901-4045 | |
(573) 712-2546 | |
(573) 712-2549 |
Full Name | Gary Luther Ward Ii |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 20 Years |
Location | 2002 Kanell Blvd, Poplar Bluff, 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 |
---|---|---|---|
1528336294 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 2012009853 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ssm Depaul Health Center | Bridgeton, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sound Physicians Of Illinois Llc | 1557533734 | 205 |
Entity Name | Poplar Bluff Hma Physician Management, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598710147 PECOS PAC ID: 5092769703 Enrollment ID: O20050307000013 |
Entity Name | Cogent Healthcare Of Missouri Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780961599 PECOS PAC ID: 5597925099 Enrollment ID: O20120320000863 |
Entity Name | Sound Physicians Of Illinois Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043598865 PECOS PAC ID: 1557533734 Enrollment ID: O20170519000666 |
Entity Name | Hospitalist Medicine Physicians Of Missouri - Richmond Heights Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265911440 PECOS PAC ID: 2961753975 Enrollment ID: O20181001001336 |
Entity Name | Hospitalist Medicine Physicians Of Missouri - Bridgeton, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275012452 PECOS PAC ID: 2567713571 Enrollment ID: O20181001001537 |
Mailing Address | Practice Location Address |
---|---|
Gary Luther Ward Ii, DO 3100 Oak Grove Rd, Poplar Bluff, MO 63901-3396 Ph: (573) 776-2000 | Gary Luther Ward Ii, DO 2002 Kanell Blvd, Suite 106, Poplar Bluff, MO 63901-4045 Ph: (573) 712-2546 |
Robert Francis Dorsey, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3098 Oak Grove Rd, Poplar Bluff, MO 63901 Phone: 573-776-2600 Fax: 573-776-2763 | |
Dr. Donna J Allmon, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 686 Lester St, Poplar Bluff, MO 63902 Phone: 573-686-2411 Fax: 573-686-8452 | |
Silvia Pagoada Vallecillo, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3100 Oak Grove Rd, Poplar Bluff, MO 63901 Phone: 573-776-2000 | |
Ibrahim Awawdeh, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2340 Katy Ln, Poplar Bluff, MO 63901 Phone: 573-290-3293 Fax: 669-280-5057 | |
Maxine A Theriot, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3098 Oak Grove Rd, Poplar Bluff, MO 63901 Phone: 573-686-8199 Fax: 573-686-8398 | |
Bennie N Till, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 686 Lester St, Poplar Bluff, MO 63901 Phone: 573-686-2411 Fax: 573-686-8452 | |
William R Pierce, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1500 N Westwood Blvd, Poplar Bluff, MO 63901 Phone: 573-778-4729 Fax: 573-778-4731 |