Julia Marie Roberts, | |
6500 Hospital Dr, Hannibal, MO 63401-6890 | |
(573) 629-3440 | |
(573) 629-3423 |
Full Name | Julia Marie Roberts |
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Gender | Female |
Speciality | Pediatrics |
Location | 6500 Hospital Dr, Hannibal, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457767113 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 125.065952 (Illinois) | Secondary |
208000000X | Pediatrics | 2017011832 (Missouri) | Primary |
Entity Name | Hannibal Regional Healthcare System Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134311392 PECOS PAC ID: 1254236300 Enrollment ID: O20071004000422 |
Mailing Address | Practice Location Address |
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Julia Marie Roberts, 6500 Hospital Drive, Hannibal, MO 63401 Ph: (573) 629-3440 | Julia Marie Roberts, 6500 Hospital Dr, Hannibal, MO 63401-6890 Ph: (573) 629-3440 |
Cassidy Lynn Leonard-scott, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 6500 Hospital Dr, Hannibal, MO 63401 Phone: 573-629-3440 Fax: 573-629-3416 | |
Dr. James Keith Mann, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 37 El Rancho Dr, Hannibal, MO 63401 Phone: 573-248-1265 | |
Zach Johnson, D.O. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 100 Medical Dr, Hannibal, MO 63401 Phone: 573-221-5250 Fax: 573-231-3824 | |
Brian T Mcginn, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Medical Dr, Hannibal, MO 63401 Phone: 573-221-5250 Fax: 573-231-3723 | |
Dr. Barbara A White, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 6500 Hospital Dr, Hannibal, MO 63401 Phone: 573-629-3440 Fax: 573-629-3416 | |
Dr. Dana Anne Frazine, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Medical Dr, Hannibal, MO 63401 Phone: 573-221-5250 Fax: 573-231-3723 |