Marylin Besong, | |
1 Hospital Dr, Columbia, MO 65212-1000 | |
(573) 882-9522 | |
Not Available |
Full Name | Marylin Besong |
---|---|
Gender | Female |
Speciality | Anesthesiology |
Location | 1 Hospital 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 |
---|---|---|---|
1780026872 | NPI | - | NPPES |
1780026872 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 657913 (New York) | Secondary |
207L00000X | Anesthesiology | 2019022910 (Missouri) | Secondary |
207L00000X | Anesthesiology | 84485 (Wisconsin) | Primary |
Entity Name | Saint Lukes Physician Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093263717 PECOS PAC ID: 3577476894 Enrollment ID: O20031111000818 |
Entity Name | Bothwell Regional Health Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235102690 PECOS PAC ID: 6103714126 Enrollment ID: O20040310000246 |
Entity Name | Mid-america Anesthesia Consultants, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083728463 PECOS PAC ID: 6305837626 Enrollment ID: O20040524000952 |
Entity Name | Northstar Anesthesia Of Missouri Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396191789 PECOS PAC ID: 4082908249 Enrollment ID: O20160810001928 |
Entity Name | Capital Anesthesia Solutions Of Missouri, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770185472 PECOS PAC ID: 1456764885 Enrollment ID: O20210104001560 |
Mailing Address | Practice Location Address |
---|---|
Marylin Besong, 1 Hospital Dr, Columbia, MO 65212-1000 Ph: (573) 882-9522 | Marylin Besong, 1 Hospital Dr, Columbia, MO 65212-1000 Ph: (573) 882-9522 |