Mark M Chin, MD | |
1103 W Liberty St, Farmington, MO 63640-1921 | |
(573) 760-8488 | |
(573) 756-3793 |
Full Name | Mark M Chin |
---|---|
Gender | Male |
Speciality | Internal Medicine - Cardiovascular Disease |
Location | 1103 W Liberty St, Farmington, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104872381 | NPI | - | NPPES |
202709200 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0000X | Internal Medicine - Cardiovascular Disease | 36657 (Missouri) | Primary |
Entity Name | Heart And Vascular Associates Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336595198 PECOS PAC ID: 7012208952 Enrollment ID: O20160623000558 |
Mailing Address | Practice Location Address |
---|---|
Mark M Chin, MD 670 Mason Ridge Center Dr, Suite 300, Saint Louis, MO 63141-8573 Ph: (573) 760-8488 | Mark M Chin, MD 1103 W Liberty St, Farmington, MO 63640-1921 Ph: (573) 760-8488 |
Evan Grant Williams, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1101 W Liberty St, Farmington, MO 63640 Phone: 573-756-6751 | |
Dr. Sunil Gupta Chand, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1031 E Karsch Blvd, Farmington, MO 63640 Phone: 573-756-7880 | |
John A Hartman, DO Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 1103 Weber Rd, Ste 101, Farmington, MO 63640 Phone: 573-756-6438 Fax: 573-756-6439 | |
Susan K Cox, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 1580 West Columbia St., Farmington, MO 63640 Phone: 573-760-1365 | |
John David Griffin, Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 12 Annie Dr, Farmington, MO 63640 Phone: 573-915-4880 | |
Kyle F Warren, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 515 Maple Valley Dr, Farmington, MO 63640 Phone: 573-760-7920 Fax: 573-756-9597 |