Lorenzo Dow Mcknelly, DO | |
1125 Madison St, Jefferson City, MO 65101-5227 | |
(573) 635-7651 | |
(573) 659-4515 |
Full Name | Lorenzo Dow Mcknelly |
---|---|
Gender | Male |
Speciality | Infectious Disease |
Experience | 34 Years |
Location | 1125 Madison St, Jefferson City, 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 |
---|---|---|---|
1861508095 | NPI | - | NPPES |
10118C002 | Other | MO | BC/BS |
17066 | Other | MO | GROUP HEALTH PLAN |
242956837 | Medicaid | MO | |
105908 | Other | MO | MERCY HEALTH PLANS |
04-04436 | Other | MO | UNITED HEALTHCARE |
109986 | Other | MO | BLUE CHOICE |
110147220 | Other | MO | RR MEDICARE |
5833167 | Other | MO | AETNA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | R4N29 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
University Of Missouri Health Care | Columbia, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The Curators Of The University Of Missouri | 4486759560 | 997 |
Hospital Medicine Services Of Tennessee Pc | 9234432881 | 141 |
Entity Name | Capital Region Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477980837 PECOS PAC ID: 4688573686 Enrollment ID: O20070323000507 |
Entity Name | The Curators Of The University Of Missouri |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235126921 PECOS PAC ID: 4486759560 Enrollment ID: O20070418000290 |
Entity Name | Hospital Medicine Services Of Tennessee Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528433802 PECOS PAC ID: 9234432881 Enrollment ID: O20160531002246 |
Mailing Address | Practice Location Address |
---|---|
Lorenzo Dow Mcknelly, DO 1125 Madison St, Po Box 1128, Jefferson City, MO 65101-5227 Ph: (573) 635-7651 | Lorenzo Dow Mcknelly, DO 1125 Madison St, Jefferson City, MO 65101-5227 Ph: (573) 635-7651 |
Vineela Kasireddy, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1432 Southwest Blvd, Jefferson City, MO 65109 Phone: 573-632-4800 | |
Mr. Ghulam Ghous, M.D Internal Medicine Medicare: Medicare Enrolled Practice Location: 1125 Madison St, Jefferson City, MO 65101 Phone: 573-632-5000 Fax: 573-634-2033 | |
Dr. Thomas W. Schneider, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1241 W Stadium Blvd, Jefferson City, MO 65109 Phone: 573-635-5264 Fax: 573-761-4351 | |
Dr. Conrad S. Balcer, D.O. Internal Medicine Medicare: Medicare Enrolled Practice Location: 1241 W Stadium Blvd, Jefferson City, MO 65109 Phone: 573-635-5264 Fax: 573-761-4611 | |
Rolando Daniel Breier, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1241 W Stadium Blvd, Jefferson City, MO 65109 Phone: 573-893-6404 Fax: 573-893-6505 | |
Chad Zeglis, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2505 Mission Dr, Jefferson City, MO 65109 Phone: 573-681-3396 Fax: 573-681-3617 | |
Dr. Rodd L Hillard, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2707 W Edgewood Dr, Jefferson City, MO 65109 Phone: 573-635-0233 Fax: 573-635-7436 |