Juan Gustavo Nix, MD | |
1500 N Oakland Ave, Bolivar, MO 65613-3011 | |
(417) 326-6000 | |
Not Available |
Full Name | Juan Gustavo Nix |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 1500 N Oakland Ave, Bolivar, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508939661 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | MOR1G61 (Missouri) | Primary |
Entity Name | Phelps County Regional Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891766051 PECOS PAC ID: 2860391158 Enrollment ID: O20040106000405 |
Entity Name | Citizens Memorial Healthcare |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568566131 PECOS PAC ID: 4183528169 Enrollment ID: O20040315001374 |
Entity Name | Citizens Memorial Hospital District |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558548818 PECOS PAC ID: 2769574433 Enrollment ID: O20070827000044 |
Mailing Address | Practice Location Address |
---|---|
Juan Gustavo Nix, MD 1500 N Oakland Ave, Bolivar, MO 65613-3011 Ph: (417) 326-6000 | Juan Gustavo Nix, MD 1500 N Oakland Ave, Bolivar, MO 65613-3011 Ph: (417) 326-6000 |
Chad David Law, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1500 N Oakland Ave, Bolivar, MO 65613 Phone: 417-326-6000 | |
Dr. Gregory Stanley Zolkowski, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 910 E San Martin St, Bolivar, MO 65613 Phone: 417-777-4749 Fax: 417-777-8041 | |
Jeffrey K Smieshek, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1500 N Oakland Ave, Bolivar, MO 65613 Phone: 417-326-6000 |