Pavel Svintozelsky, MD | |
200 Corporate Lake Dr, Columbia, MO 65203-7172 | |
(573) 814-1170 | |
Not Available |
Full Name | Pavel Svintozelsky |
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Gender | Male |
Speciality | General Practice |
Location | 200 Corporate Lake Dr, 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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1144868019 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | 2018038214 (Missouri) | Primary |
Entity Name | Big Tree Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740858562 PECOS PAC ID: 6507232543 Enrollment ID: O20221017002513 |
Mailing Address | Practice Location Address |
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Pavel Svintozelsky, MD 200 Corporate Lake Dr, Columbia, MO 65203-7172 Ph: (573) 814-1170 | Pavel Svintozelsky, MD 200 Corporate Lake Dr, Columbia, MO 65203-7172 Ph: (573) 814-1170 |
Dr. Amber Michelle Oros, D.O., M.S. General Practice Medicare: Not Enrolled in Medicare Practice Location: 1 Hospital Dr Ste M562, Columbia, MO 65212 Phone: 573-884-3233 | |
Samuel Holt Mcnair, MD General Practice Medicare: Medicare Enrolled Practice Location: 1 Hospital Dr # Dc0.3200, Columbia, MO 65212 Phone: 573-864-8560 | |
Dr. Theodore Henry Katz, MD General Practice Medicare: Medicare Enrolled Practice Location: 1 Hospital Dr, Columbia, MO 65212 Phone: 573-882-4141 | |
Dr. Robert Calaluce, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 140 Walter Williams Hall, Columbia, MO 65211 Phone: 573-882-4204 Fax: 573-882-4204 | |
Dr. Siddharth Jain, D.O. General Practice Medicare: Medicare Enrolled Practice Location: 619 N Providence Rd, Columbia, MO 65203 Phone: 573-234-1070 Fax: 573-818-1342 | |
Dr. Bilel Amor, MD, AP General Practice Medicare: Not Enrolled in Medicare Practice Location: 400 N Keene St, Columbia, MO 65201 Phone: 573-882-4438 Fax: 573-884-9992 |