Richard Perez Doisy, MD | |
600 E 5th Street, Fulton State Hospital, Fulton, MO 65251 | |
(573) 592-4100 | |
(573) 592-3023 |
Full Name | Richard Perez Doisy |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 600 E 5th Street, Fulton, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255341491 | NPI | - | NPPES |
203833116 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD106068 (Missouri) | Primary |
Entity Name | State Of Missouri |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164477873 PECOS PAC ID: 1456254226 Enrollment ID: O20040129000481 |
Mailing Address | Practice Location Address |
---|---|
Richard Perez Doisy, MD 600 E 5th St, Fulton, MO 65251-1753 Ph: (573) 592-4100 | Richard Perez Doisy, MD 600 E 5th Street, Fulton State Hospital, Fulton, MO 65251 Ph: (573) 592-4100 |
Sophi Thurman, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 110 N Hospital Dr, Fulton, MO 65251 Phone: 573-642-5911 Fax: 573-642-3015 | |
Heather L Pierce, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 110 N Hospital Dr, Fulton, MO 65251 Phone: 573-642-5911 Fax: 573-642-3015 | |
Dr. William P Cravens, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 850 West Hospital Drive, Suite A, Fulton, MO 65251 Phone: 573-592-0337 Fax: 573-592-0711 | |
Brice P Windsor, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2613 Fairway Dr, Fulton, MO 65251 Phone: 573-642-1990 Fax: 573-642-5089 | |
Dr. Rezwan Islam, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 850 N Hospital Dr, Ste D, Fulton, MO 65251 Phone: 573-642-5338 Fax: 573-642-9224 | |
James J Stevermer, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 110 N Hospital Dr, Fulton, MO 65251 Phone: 573-642-5911 Fax: 573-642-3015 | |
Mark Cameron Dodds, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 110 N Hospital Dr, Fulton, MO 65251 Phone: 573-642-5911 Fax: 573-642-3015 |