Thomas Russell Geisenheimer Jr, DO | |
315 S Osteopathy Ave, Kirksville, MO 63501-6401 | |
(660) 785-1400 | |
Not Available |
Full Name | Thomas Russell Geisenheimer Jr |
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Gender | Male |
Speciality | Family Medicine |
Location | 315 S Osteopathy Ave, Kirksville, 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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1104233378 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 2014021962 (Missouri) | Primary |
Entity Name | App Of Alabama Ed Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659646040 PECOS PAC ID: 3577725068 Enrollment ID: O20120430000174 |
Entity Name | Northwest Alabama Emergency Medicine Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639692767 PECOS PAC ID: 0749556611 Enrollment ID: O20171019003017 |
Entity Name | Alabama Physicians Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750062527 PECOS PAC ID: 2668835604 Enrollment ID: O20230824000442 |
Mailing Address | Practice Location Address |
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Thomas Russell Geisenheimer Jr, DO 810 Kings Rd Apt 2, Kirksville, MO 63501-2571 Ph: () - | Thomas Russell Geisenheimer Jr, DO 315 S Osteopathy Ave, Kirksville, MO 63501-6401 Ph: (660) 785-1400 |
Karen A Sylvara, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 502 S Baltimore St, Kirksville, MO 63501 Phone: 660-665-5570 Fax: 660-665-2898 | |
Dr. Katherine Lynne Holbrook, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 800 W Jefferson St, Kirksville, MO 63501 Phone: 660-626-2223 | |
Dr. Stephanie Gonzales, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 315 S Osteopathy Ave, Kirksville, MO 63501 Phone: 660-785-1000 | |
Dr. James L Bowers, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1415 E Scott St, Kirksville, MO 63501 Phone: 660-665-1767 Fax: 660-665-1767 | |
Dr. Ronald Leland Phillips, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1 Crown Dr, Suite 200, Kirksville, MO 63501 Phone: 660-665-3838 Fax: 660-665-0130 | |
Dr. Steven R Lyons, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 W Jefferson St, Kirksville, MO 63501 Phone: 660-785-1000 | |
Gemma A Ciesemier, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 610 Rosewood Dr, Kirksville, MO 63501 Phone: 660-627-2740 Fax: 660-665-0448 |