Michael Scott Severance, MD | |
3207 W Truman Blvd, Jefferson City, MO 65109-0578 | |
(573) 636-5115 | |
(573) 636-2818 |
Full Name | Michael Scott Severance |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 36 Years |
Location | 3207 W Truman Blvd, 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 |
---|---|---|---|
1790708907 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 101963 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lake Regional Health System | Osage beach, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lake Regional Medical Management Inc | 3577467323 | 46 |
Entity Name | Lake Regional Medical Management Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639134158 PECOS PAC ID: 3577467323 Enrollment ID: O20031122000076 |
Entity Name | Urology Care, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780723205 PECOS PAC ID: 4688630718 Enrollment ID: O20070703000252 |
Mailing Address | Practice Location Address |
---|---|
Michael Scott Severance, MD 3207 W Truman Blvd, Jefferson City, MO 65109-0578 Ph: (573) 636-5115 | Michael Scott Severance, MD 3207 W Truman Blvd, Jefferson City, MO 65109-0578 Ph: (573) 636-5115 |
Eric Ivan Vogt, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 3207 W Truman Blvd, Jefferson City, MO 65109 Phone: 573-636-5115 | |
Douglas Alan West, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 3207 W Truman Blvd, Jefferson City, MO 65109 Phone: 573-636-5115 Fax: 573-636-2818 | |
John Paul Koonce, MD Urology Medicare: Medicare Enrolled Practice Location: 3207 W Truman Blvd, Jefferson City, MO 65109 Phone: 573-636-5115 Fax: 573-636-2818 | |
Dr. Jerry Jeff Trulson, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 3207 W Truman Blvd, Jefferson City, MO 65109 Phone: 573-636-5115 Fax: 573-636-2818 |