Tysen J Petre, DO | |
800 W Jefferson St, Kirksville, MO 63501-1443 | |
(660) 665-4432 | |
(660) 956-4392 |
Full Name | Tysen J Petre |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 21 Years |
Location | 800 W Jefferson St, Kirksville, Missouri |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871642470 | NPI | - | NPPES |
BNDD | Other | MO | 400608434 |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 2006004444 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Northeast Regional Home Health | Kirksville, MO | Home health agency |
Northeast Regional Medical Center | Kirksville, MO | Hospital |
Macon County Samaritan Memorial Hospital | Macon, MO | Hospital |
Twin Pines Adult Care Center | Kirksville, MO | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Kirksville Missouri Hospital Company Llc | 3274517347 | 3 |
Entity Name | Kirksville Missouri Hospital Company Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336491448 PECOS PAC ID: 3274517347 Enrollment ID: O20130312000204 |
Mailing Address | Practice Location Address |
---|---|
Tysen J Petre, DO 800 W Jefferson St, Kirksville, MO 63501-1443 Ph: (660) 665-4432 | Tysen J Petre, DO 800 W Jefferson St, Kirksville, MO 63501-1443 Ph: (660) 665-4432 |
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 |