Mr Robert J Jibben, DO | |
1523 Business Hwy 60 W, Ste A1, Dexter, MO 63841 | |
(573) 624-8447 | |
Not Available |
Full Name | Mr Robert J Jibben |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 1523 Business Hwy 60 W, Dexter, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043209836 | NPI | - | NPPES |
212875 | Other | BLUE CROSS BLUE SHIELD | |
P00391083 | Other | MO | RAILROAD MEDICARE |
241863935 | Medicaid | MO | |
765432 | Other | MO | HEALTHLINK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | R5B81 (Missouri) | Secondary |
207Q00000X | Family Medicine | DOR5B81 (Missouri) | Primary |
Entity Name | Southeast Health Center Of Stoddard County Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477997567 PECOS PAC ID: 7315192515 Enrollment ID: O20130605000128 |
Mailing Address | Practice Location Address |
---|---|
Mr Robert J Jibben, DO Po Box 472, Dexter, MO 63841-0472 Ph: (573) 624-8447 | Mr Robert J Jibben, DO 1523 Business Hwy 60 W, Ste A1, Dexter, MO 63841 Ph: (573) 624-8447 |
Dr. Edward D Reese, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1200 N One Mile Rd, Dexter, MO 63841 Phone: 573-624-7575 Fax: 573-624-7393 | |
Neal W Garner, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 610 N One Mile Rd, Dexter, MO 63841 Phone: 573-624-3600 | |
Natasha Ware, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1516 W Business Hwy 60, Dexter, MO 63841 Phone: 573-614-5007 | |
Mr. John T Blair, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 115 East Business Highway 60, Dexter, MO 63841 Phone: 573-624-7575 | |
Teddy C Hatfield, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 610 N One Mile Rd, Dexter, MO 63841 Phone: 573-624-3600 | |
Dr. Alan Jennings Chen, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1516 W Business Hwy 60, Dexter, MO 63841 Phone: 573-624-8051 Fax: 573-624-6669 |