Mitchell Louis Heuermann, MD | |
525 N Keene St Ste 201, Columbia, MO 65201-6967 | |
(573) 882-7903 | |
(573) 884-4607 |
Full Name | Mitchell Louis Heuermann |
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Gender | Male |
Speciality | Otolaryngology |
Location | 525 N Keene St Ste 201, Columbia, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1295227783 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Y00000X | Otolaryngology | 036.164552 (Illinois) | Secondary |
207Y00000X | Otolaryngology | 2023047886 (Missouri) | Primary |
Entity Name | Siu Physicians & Surgeons Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558385989 PECOS PAC ID: 2365352820 Enrollment ID: O20031222000769 |
Mailing Address | Practice Location Address |
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Mitchell Louis Heuermann, MD Po Box 843966, Kansas City, MO 64184-3966 Ph: (573) 884-3300 | Mitchell Louis Heuermann, MD 525 N Keene St Ste 201, Columbia, MO 65201-6967 Ph: (573) 882-7903 |
Andrea Lee Hanick, Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1000 W Nifong Blvd Ste 100, Columbia, MO 65203 Phone: 573-214-2000 | |
Chia-wai David Chang, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 812 N Keene St, Columbia, MO 65201 Phone: 573-817-3000 Fax: 573-876-6950 | |
Dr. David C. Mechlin, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 303 N Keene St, Suite 401, Columbia, MO 65201 Phone: 573-884-2200 Fax: 573-884-8836 | |
Juan Carlos Yanez-siller, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 1 Hospital Dr # Ma314, Columbia, MO 65212 Phone: 573-882-6737 Fax: 573-884-4205 | |
Dr. James S. Denninghoff, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1701 E Broadway, Suite 304, Columbia, MO 65201 Phone: 573-815-0662 Fax: 573-443-1162 | |
Megan Gillespie, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 1 Hospital Drive, Ma314 / Dc027.00, Columbia, MO 65212 Phone: 573-882-7935 Fax: 573-884-4205 | |
Derek Singh Mann, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: One Hospital Dr Ma314, Columbia, MO 65212 Phone: 573-884-6031 |