Mariya Kochubey, MD | |
3800 S National Ave Ste 600, Springfield, MO 65807-5249 | |
(000) 000-0000 | |
Not Available |
Full Name | Mariya Kochubey |
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Gender | Female |
Speciality | Surgery |
Location | 3800 S National Ave Ste 600, Springfield, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215433560 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 82145-20 (Wisconsin) | Secondary |
2086S0127X | Surgery - Trauma Surgery | 82145-20 (Wisconsin) | Secondary |
208600000X | Surgery | 2024008978 (Missouri) | Primary |
Entity Name | University Of Wisconsin Medical Foundation Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598784555 PECOS PAC ID: 6608785464 Enrollment ID: O20031111000435 |
Mailing Address | Practice Location Address |
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Mariya Kochubey, MD Po Box 505673, Saint Louis, MO 63150-5673 Ph: () - | Mariya Kochubey, MD 3800 S National Ave Ste 600, Springfield, MO 65807-5249 Ph: (000) 000-0000 |
Matthew E Simpson, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 761 S Hickory Ter, Springfield, MO 65809 Phone: 417-894-6536 | |
Zachary C Schmittling, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3800 S National Ave, Springfield, MO 65807 Phone: 417-875-3700 Fax: 417-875-3737 | |
Dr. Robert M Cavagnol, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1965 S Fremont Ave, Suite 100, Springfield, MO 65804 Phone: 417-820-3800 Fax: 417-820-3810 | |
Timothy D Woods, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1001 E Primrose St, Springfield, MO 65807 Phone: 417-875-3000 Fax: 417-875-3245 | |
Charles W Dunn, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1222 S Delaware Ave, Springfield, MO 65804 Phone: 417-860-7743 Fax: 417-269-7567 | |
James Gibson, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3015 S Ridge Dr, Springfield, MO 65809 Phone: 417-887-2342 | |
Dr. Dante Caleb-samuel Dali, DO, FACS Surgery Medicare: Accepting Medicare Assignments Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-3960 |