Susan Stackelhouse Voss, | |
1125 Madison St, Jefferson City, MO 65101-5227 | |
(573) 632-5525 | |
(573) 632-5811 |
Full Name | Susan Stackelhouse Voss |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 1125 Madison St, Jefferson City, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023073145 | NPI | - | NPPES |
440546366 | Other | UNITED HEALTH CARE | |
H16641 | Other | MERCY | |
1834230 | Other | FIRST HEALTH | |
204990105 | Other | MO | MEDICAID |
207515500 | Other | MO | MEDICAID |
11071 | Other | CIGNA | |
204990105 | Medicaid | MO | |
129170 | Other | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 113335 (Missouri) | Primary |
Entity Name | Capital Region Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477980837 PECOS PAC ID: 4688573686 Enrollment ID: O20070323000507 |
Entity Name | The Curators Of The University Of Missouri |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235126921 PECOS PAC ID: 4486759560 Enrollment ID: O20070418000290 |
Mailing Address | Practice Location Address |
---|---|
Susan Stackelhouse Voss, 1125 Madison St, Jefferson City, MO 65101-5227 Ph: (573) 632-5525 | Susan Stackelhouse Voss, 1125 Madison St, Jefferson City, MO 65101-5227 Ph: (573) 632-5525 |
Dr. Olakunle Joseph Oni, MD, MPH Pediatrics Medicare: Medicare Enrolled Practice Location: 1125 Madison St, Jefferson City, MO 65101 Phone: 573-632-5525 | |
Dr. William Busby, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3348 American Ave, Jefferson City, MO 65109 Phone: 573-761-7210 Fax: 573-634-8802 | |
Dr. George L Mcelroy, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3348 American Ave, Jefferson City, MO 65109 Phone: 573-761-7210 Fax: 573-634-8802 | |
Dr. Brian Conley, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3348 American Ave, Jefferson City, MO 65109 Phone: 573-761-7210 Fax: 573-634-5990 | |
Dr. Autumn A Han, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1125 Madison St, Jefferson City, MO 65101 Phone: 573-632-5525 | |
Dr. Aimee Michelle Lorenz, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1125 Madison St, Jefferson City, MO 65101 Phone: 573-632-5525 Fax: 573-632-5811 |